Key result
Transannular patch reconstruction during TOF repair required longer aortic cross-clamp times than non-TAPR (130.1 vs 85.8 min, P<0.0001), with an overall operative mortality of 4.0%.
Why the study?
Does a surgical strategy minimizing transannular patch use and employing a novel folded monocusp-patch technique improve outcomes and reduce pulmonary insufficiency in older children and adults undergoing tetralogy of Fallot repair?
Population
74 patients with tetralogy of Fallot or double outlet right ventricle-type-TOF undergoing complete repair.
Comparison
Complete surgical repair of TOF with a strategy… vs Patients undergoing repair without TAPR or with…
Design
Cohort
Follow-up
up to 8 to 12 months
Authors
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Longer cross-clamp times with transannular patching may inform repair technique selection; leaves open whether monocusp strategies improve late outcomes in older TOF patients.
Cohort (n=74)
Does a surgical strategy minimizing transannular patch use and employing a novel folded monocusp-patch technique improve outcomes and reduce pulmonary insufficiency in older children and adults undergoing tetralogy of Fallot repair?
Absolute Event Rate: 130.1% vs 85.8%
p-value: p=<0.0001
A surgical strategy for TOF repair in older children and adults that minimizes transannular patch use and incorporates a novel autologous pericardial monocusp-patch technique is safe and effectively reduces postoperative pulmonary insufficiency.
Guo‐Wei He (2008) conducted a cohort in Tetralogy of Fallot (TOF) or double outlet RV (DORV)-type-TOF (n=74). Transannular patch reconstruction (TAPR) vs. Non-TAPR was evaluated on Aortic cross-clamp time (minutes) (p=<0.0001). Transannular patch reconstruction during TOF repair required longer aortic cross-clamp times than non-TAPR (130.1 vs 85.8 min, P<0.0001), with an overall operative mortality of 4.0%.
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