Why the study?
Postoperative progressive dilatation of the aortic root in adult patients after repaired Tetralogy of Fallot can lead to severe aortic regurgitation or fatal dissection, necessitating individualized surgical strategies.
Surgical treatment is necessary for adult patients with repaired Tetralogy of Fallot who develop progressive aortic root dilatation and severe aortic regurgitation.
May warrant aortic surveillance after TOF repair; leaves open optimal surgical thresholds in adults.
It has been found that postoperative progressive dilatation of aortic root is not rare for adult patients with repaired Tetralogy of Fallot (TOF), which leads to severe aortic regurgitation or even fatal dissection. Therefore, clinically, surgical treatment for both regurgitated aortic valve and dilated root is needed based on preoperative assessments and individual treatment strategies.
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Zhang et al. (2022) studied this question.
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