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Redo Aortic Root Alberto Pochettino

Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

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Page 1: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

Redo Aortic Root

Alberto Pochettino

Page 2: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

Proximal Aorta and Arch Aneurysm: Single Ventricle

Page 3: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

32 year old, Male

• Tricuspid atresia, transposition of the great arteries, and VSD

• Repair: bidirectional Glenn, Fontan, mechanical aortic valve, and aortic reconstruction

• Presented with dilated and growing proximal aorta and arch

Page 4: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

Pre Op CT

Page 5: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:
Page 6: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

Dismissal CT

Page 7: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

One Year Follow up CT

Page 8: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

Infected Aortic Root:Previous Florida Sleeve

Page 9: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

55 year old, man

• Failed Florida Sleeve for BAV requiring AVR

• Subsequently develops aortic root abscess with vegetations on MV

• Positive MRSA

Page 10: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

Dismissal CT after Florida Sleeve

Page 11: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

TEE

Page 12: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:
Page 13: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

Follow Up: 6 Month CT

Page 14: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:
Page 15: Redo Aortic Root...Alberto Pochettino Proximal Aorta and Arch Aneurysm: Single Ventricle 32 year old, Male • Tricuspid atresia, transposition of the great arteries, and VSD • Repair:

Thank You