Repair of symptomatic neoaortic aneurysm after third-stage palliation for hypoplastic left heart syndrome Jeffrey H. Shuhaiber, MD, Vinu Patel, MD, Tarek.

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Presentation transcript:

Repair of symptomatic neoaortic aneurysm after third-stage palliation for hypoplastic left heart syndrome Jeffrey H. Shuhaiber, MD, Vinu Patel, MD, Tarek Husayni, MD, Chawki El-Zein, MD, Mary J. Barth, MD, Michel N. Ilbawi, MD The Journal of Thoracic and Cardiovascular Surgery Volume 131, Issue 2, Pages 478-479.e1 (February 2006) DOI: 10.1016/j.jtcvs.2005.09.047 Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A and B, Computed tomographic frames of the chest with intravenous contrast demarcating a large neoaortic aneurysm (arrows). The Journal of Thoracic and Cardiovascular Surgery 2006 131, 478-479.e1DOI: (10.1016/j.jtcvs.2005.09.047) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Alcian blue stain showing cystic medial degenerative changes. B, Neoaorta and pericardial graft showing numerous elastic laminae with parallel arrangement and foci of fibrointimal proliferation (×400). Some elastic laminae separated by pale myxoid material with foci of cystic medial degeneration. The Journal of Thoracic and Cardiovascular Surgery 2006 131, 478-479.e1DOI: (10.1016/j.jtcvs.2005.09.047) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 A, Preoperative transesophageal echocardiogram exhibiting preoperative aortic annulus. A1, Preoperative aortic annulus = 28 mm; A2, Preoperative sinotubular junction = 38 mm. B, Postoperative transthoracic echocardiogram showing a sinotubular junction 17 mm (A1) and aortic annulus at 24 mm (A2). The Journal of Thoracic and Cardiovascular Surgery 2006 131, 478-479.e1DOI: (10.1016/j.jtcvs.2005.09.047) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions