Background Objective:The aorta root dilation remains one of the major concerns in surgical management for patients with unrepaired or repaired tetralogy of Fallot.The present study was sought to characterize the evolu...Background Objective:The aorta root dilation remains one of the major concerns in surgical management for patients with unrepaired or repaired tetralogy of Fallot.The present study was sought to characterize the evolution of aorta root dilation after tetralogy of Fallot repair in a long-term follow-up and determine the necessity of simultaneous intervention or reoperation on the dilated aortic root.Methods:We retrospectively reviewed a total of 100consecutive patients undergoing intra-cardiac tetralogy of Fallot repair in Guangdong Provincial People’s Hospital from Jan 2010 to Jan 2015.Operation records and transthoracic echocardiography data including initial preoperative assessment and a series of postoperative visits were all collected and compared.Results:Of the 100 consecutive patients(24.9±13.3 years,51 male),40%and 55%underwent ventricular septal defect repair with an operational approach on the right atrium incision and right ventricle outflow tract incision,respectively.The aorta root dimension decreased shortly after tetralogy of Fallot repair(P=0.01)but significantly augmented in the second postoperative follow-up(P=0.02),with no distinct change in the next several postoperative follow-ups.Conclusion:The aorta root dilation in patients after late tetralogy of Fallot repair is common but seems stable in a long-term follow-up,suggesting that it might not necessitate surgical correction during or after repairing the tetralogy of Fallot,especially for those without preoperative aortic root dilation.展开更多
基金supported by the Project of Guangdong Provincial Clinical Research Center for Cardiovascular disease(No.2020B1111170011)Guangdong Special Funds for Science and Technology Innovation Strategy,China(Stability Support for Scientific Research Institutions Affiliated to Guangdong Province-GDCI 2021)Guangdong Peak Project(No.DFJH201802)。
文摘Background Objective:The aorta root dilation remains one of the major concerns in surgical management for patients with unrepaired or repaired tetralogy of Fallot.The present study was sought to characterize the evolution of aorta root dilation after tetralogy of Fallot repair in a long-term follow-up and determine the necessity of simultaneous intervention or reoperation on the dilated aortic root.Methods:We retrospectively reviewed a total of 100consecutive patients undergoing intra-cardiac tetralogy of Fallot repair in Guangdong Provincial People’s Hospital from Jan 2010 to Jan 2015.Operation records and transthoracic echocardiography data including initial preoperative assessment and a series of postoperative visits were all collected and compared.Results:Of the 100 consecutive patients(24.9±13.3 years,51 male),40%and 55%underwent ventricular septal defect repair with an operational approach on the right atrium incision and right ventricle outflow tract incision,respectively.The aorta root dimension decreased shortly after tetralogy of Fallot repair(P=0.01)but significantly augmented in the second postoperative follow-up(P=0.02),with no distinct change in the next several postoperative follow-ups.Conclusion:The aorta root dilation in patients after late tetralogy of Fallot repair is common but seems stable in a long-term follow-up,suggesting that it might not necessitate surgical correction during or after repairing the tetralogy of Fallot,especially for those without preoperative aortic root dilation.
