PRAGUE MEDICAL REPORT
PRAGUE MEDICAL REPORT
Prague Medical Report is an English quarterly published multidisciplinary biomedical journal. Prague Medical Report was founded as Sborník lékařský in May 1885. The journal presents public primary scientific publications, short communications, casuistry, and reviews. It contains articles based on important specialised lectures and symposia.

PRAGUE MEDICAL REPORT, Vol 125 No 2 (2024), 130–137

A Severe and Fatal Type A Aortic Dissection in an Adult with a Repaired Tetralogy of Fallot

Manuela Montatore, Federica Masino, Vincenzo Signorile, Marina Balbino, Ruggiero Tupputi, Giuseppe Guglielmi

DOI: https://doi.org/10.14712/23362936.2024.11
published online: 18. 05. 2024

abstract

We report a case of a 44-year-old woman surgically treated for tetralogy of Fallot who experienced an acute and extensive Stanford A type aortic dissection despite the meticulous follow-up. While aortic dilatation is prevalent in individuals with repaired tetralogy of Fallot, aortic dissection represents a rare consequence, that when it appears, is progressive and usually detected during the check-up visits. In the case reported, the dissection was unexpected and severe, and the patient’s clinical state worsened suddenly, leading to death after a few days. Constant awareness for aortic aneurysms is essential in the Fallot tetralogy population, nevertheless, several causes may contribute to the acute worsening of the clinical condition until the patient’s death.

keywords: Echocardiography; CT; TOF; Tetralogy of Fallot; Aortic dissection; Emergency

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A Severe and Fatal Type A Aortic Dissection in an Adult with a Repaired Tetralogy of Fallot is licensed under a Creative Commons Attribution 4.0 International License.

167 x 240 mm
periodicity: 4 x per year
print price: 450 czk
ISSN: 1214-6994
E-ISSN: 2336-2936

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