Key result
Aortic root and arch replacement successfully treats occult aortic dissection in an adult post-Fontan palliation.
Why the study?
There is little information about the incidence, risk factors, and presentation of aortic dissection in the Fontan population.
This case report describes a successful aortic root and arch replacement for an occult aortic dissection in a 34-year-old male with prior Fontan palliation.
Answers are grounded in this paper and cite their sources.
Highlights surgical feasibility in Fontan patients with occult aortic dissection; leaves open questions on safety and generalizability.
There is little information about the incidence, risk factors and presentation of aortic dissection in the Fontan population. A 34-year-old male with tricuspid atresia status-post an extra-cardiac fenestrated Fontan, presented with uncontrolled hypertension and chest pain. Cardiac MRI showed a
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Mahendran et al. (2020) studied this question. Aortic root and arch replacement successfully treated an occult aortic dissection in a 34-year-old adult with tricuspid atresia and prior Fontan palliation.
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