Abstract
Right ventricle outflow tract aneurisms are of a rear complications of the tetralogy of Fallot repair. More frequently
they develop at pulmonary artery system hypoplasia after right ventricle outflow reconstruction without ventricle
defect closure. The aneurisms development, as a rule, is due to right heart side high system blood pressure or high
residual right ventricle pressure after congenital heart lesion complete correction. Usually small aneurisms can be
observed, but sometimes they can increase to giant size. The description of two successful re-do right ventricle outflow
tract reconstructions with giant aneurisms resection in 16 months after tetralogy of Fallot complete correction
are presented in this report.
References
- Calabro R., Santoro G., Pisacane C., Pacileo G., Russo M.G.,
Vosa C. Repeat syncopal attacks due to postsurgical right
ventricular pseudoaneurysm. Ann. Thorac. Surg. 1999;
68: 252–4. DOI: 10.1016/s0003-4975(99)00497-x
- Sykes M.C., Nathan M., Sanders S.P., Gauvreau K., Pigula
F.A., Rhodes J. Pseudoaneurysm complicating right
ventricle-to-pulmonary artery conduit surgery: Incidence
and risk factors. J. Thorac. Cardiovasc. Surg. 2017; 154:
2046–9. DOI: 10.1016/j.jtcvs.2017.08.014
- Kim А.I., Metlin S.N., Grigor'yants T.R. False aneurysm
outflow tracts right ventricular issued earlier reconstruction
outflow tract from the right ventricle. Children's Heart
and Vascular Diseases. 2013; 1: 42–5 (in Russ.).
- Chiaureli M.R., Kovalev D.V., Abdykalykov A.A., Mataeva
T.V. Total correction of tetralogy of Fallot with
simultaneous elimination of false aneurysm of the right
ventricular outflow after previously performed the reconstruction
of the right ventricular outflow tract. The
Bulletin of Bakoulev Center. Cardiovascular Diseases.
2017; 18 (1): 36–41. DOI: 10.24022/1810-0694-2017-18-1-36-41 (in Russ.).
- Sah S., Berdjis F., Valdez S., Gates R. Pseudoaneurysm
of surgically reconstructed right ventricular outflow tract.
World J. Pediatr. Congenit. Heart Surg. 2012; 4 (1): 116–9.
DOI: 10.1177/2150135112458696
- Pillai S.K., Reddy H.P., Kulkarni S., Murthy K.S., Cherian
K.M. Pseudoaneurysm of homograft placed in right
ventricular outflow tract. Ann. Thorac. Surg. 2004; 78:
1068–70. DOI: 10.1016/s0003-4975(03)01583-2
- Shashidharan S., Wells W.J., Detterich J., Wong J., Kumar
S.R. Giant pseudoaneurysm of reconstructed right
ventricular outflow tract. Ann. Thorac. Surg. 2015; 100 (2):
734. DOI: 10.1016/j.athorascur.2015.04.011
- Wheller J.J., Teske D.W., Craenen J.M., Allen H.D.
Right ventricular pseudoaneurysm following repair of
tetralogy of Fallot. Am. Heart J. 1990; 119: 1207–9.
DOI: 10.1016/s0002-8703(05)80258-3
- Sahewalla R., Ross R.D., Delius R.E., Halas R., Anne P.
Large pseudoaneurysm following right ventricle to pulmonary
artery homograft placement in an infant. Ann.
Pediatr. Cardiol. 2018; 11 (1): 106–8. DOI: 10.1016/j.athoracsur.2015.04.011
- Dryżek P., Góreczny S., Moszura T., Stefańczyk L.,
Szymczyk K., Sysa A., Moll J.A. Right ventricular outflow
tract giant pseudoaneurysm: percutaneous approach
and complications. Kardiol. Pol. 2013; 71 (10): 1076–8.
DOI: 10.5603/KP.2013.0264
- Herbert C., Ikemba C., Nugent A. Device closure of
a pseudoaneurysm of the right ventricular outflow tract in
an infant with right ventricle-to-pulmonary artery homograft.
Catheter. Cardiovasc. Interv. 2014; 83: 587–90.
DOI: 10.1002/ccd.24990
- Anagnostopoulos P.V. Pseudoaneurysm complicating
right ventricle-to-pulmonary artery conduit surgery: Why
single-center observational studies still matter. J. Thorac.
Cardiovasc. Surg. 2017; 154: 2050–1. DOI: 10.1016/j.jtcvs.2017.08.043
About the authors
- Vladimir P. Podzolkov, Dr Med. Sc., Professor, Academician of RAS, Head of Department; orcid.org/0000-0002-2863-2072
-
Vladimir N. Cheban, Dr Med. Sc., Leading Researcher; orcid.org/0000-0002-4608-7661
-
Elena P. Chueva, Cand. Med. Sc., Senior Researcher; orcid.org/0000-0002-5282-5692
-
Inga V. Zemlyanskaya, Dr Med. Sc., Leading Researcher; orcid.org/0000-0001-5114-8492
-
Tat'yana A. Astaf'eva, Pediatrician; orcid.org/0000-0002-2602-9835