Analysis of the aortic root dilation in patients with late repaired tetralogy of Fallot
MA Jian-rui1
WANG Xi-meng2
ZHANG Shuai3
LIU Xiao-bing3
WEN Shu-sheng3
CHEN Ji-mei3
ZHUANG Jian3
YUAN Hai-yun1
1.Department of Cardiovascular Surgery,Guangdong Cardiovascular Institute,Guangdong Provincial People's Hospi-tal,Guangdong Academy of Medical Sciences,Guangzhou 510080,China;Shantou University Medical College,Shan-tou 515041,China2.Department of Epidemiology,Guangdong Cardiovascular Institute,Guangdong Provincial People's Hospi-tal,Guangdong Academy of Medical Sciences,Guangzhou 510080,China3.Department of Cardiovascular Surgery,Guangdong Cardiovascular Institute,Guangdong Provincial People's Hospi-tal,Guangdong Academy of Medical Sciences,Guangzhou 510080,China
摘要：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 simulta-neous intervention or reoperation on the dilated aortic root.Methods:We retrospectively reviewed a total of 100 consecutive 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 preopera-tive assessment and a series of postoperative visits were all collected and compared.Results:Of the 100 consecu-tive patients(24.9±13.3 years,51 male),40％and 55％underwent ventricular septal defect repair with an operation-al approach on the right atrium incision and right ventricle outflow tract incision,respectively.The aorta root dimen-sion decreased shortly after tetralogy of Fallot repair(P=0.01)but significantly augmented in the second postopera-tive follow-up(P=0.02),with no distinct change in the next several postoperative follow-ups.Conclusion:The aor-ta 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,especial-ly for those without preoperative aortic root dilation.
机标关键词：analysislaterootwithaorticdilationfallotpatients
论文发表日期：2022-03-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：8( 53-59,94 )
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