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Combined primary repair of right ventricular outflow tract obstruction and ascending aortic aneurysm

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Abstract

A 23-year-old male presented with dyspnoea, cyanosis and clubbing and diagnosed to have the right ventricular outflow tract obstruction, patent foramen ovale, severe aortic regurgitation and ascending aortic aneurysm. The diagnosis was achieved by transthoracic echocardiography, cardiac catheterization and contrast-enhanced computed tomography. A successful intracardiac repair with aortic root replacement was performed. Postoperative course was uneventful. Postoperative and 3-month follow-up echocardiogram revealed no gradient across right ventricular outflow tract with mild pulmonary regurgitation and normally functioning prosthetic aortic valve. Histological examination of the aorta revealed cystic medial necrosis of aneurysmal sac wall.

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Authors and Affiliations

  1. Sri Sathya Sai Institute of Higher Medical Sciences, District Anantapur, Prasanthigram, 515134, Andhra Pradesh, India

    Jinaga Nageswar Rao, Trushar Gajjar & Neelam Desai

  2. Department of Cardiothoracic and vascular surgery, Sri Sathya Sai Institute of Higher Medical Sciences, District Anantapur, Prasanthigram, 515134, Andhra Pradesh, India

    Jinaga Nageswar Rao

Authors
  1. Jinaga Nageswar Rao
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  2. Trushar Gajjar
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  3. Neelam Desai
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Correspondence to Jinaga Nageswar Rao.

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Rao, J.N., Gajjar, T. & Desai, N. Combined primary repair of right ventricular outflow tract obstruction and ascending aortic aneurysm. Indian J Thorac Cardiovasc Surg 30, 167–169 (2014). https://doi.org/10.1007/s12055-014-0272-2

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  • DOI: https://doi.org/10.1007/s12055-014-0272-2

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