Long-term Follow-up of Tetralogy of Fallot Repair Using a Monocusp Valve | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 44, Issue 2, April 2025, Page 778-786 PDF (664.17 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2024.335670.1275 | ||||
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| Authors | ||||
Khaled Mohammed Samir1; Waleed Ismail Kamel Ibraheem1; Mohammed Abdel-Gayed Ibrahim1; Ahmed Mahmoud Hassann Shihata  2
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| 1Departments of Cardiothoracic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||||
| 2Departments of Cardiothoracic Surgery, Faculty of Medicine, Misr University for Science and Technology (MUST), The Memorial Souad Kafafi University Hospital, Giza, Egypt | ||||
| Abstract | ||||
| Background: The most prevalent kind of cyanotic congenital cardiac abnormality is called tetralogy of Fallot (TOF). It makes up 7–10% of all congenital cardiac anomalies and is linked to a morbidity rate of ~13500/ in neonates. Aim and objectives: This study’s primary goal was to identify the clinical outcomes following surgery for individuals undergoing TOF repair using a monocusp valve. Patients and Methods: A retrospective interventional cohort study was conducted on children who had their TOF completely repaired using a monocusp valve at Ain Shams University hospitals. Results: There was no statistically significant difference between short-term and long-term follow-up; however, there was a mild increase regarding LVEDD (mm), LVESD (mm), IVSD (mm), and LVPWD (mm) in the long-term follow-up compared with the short-term follow-up. There was a decrease in right ventricular outflow tract gradient (mmHg) in longterm follow-up compared with the short-term follow-up. There was no significant relationship between right ventricular outflow tract gradient and echocardiographic measurements. Conclusion: The present investigation demonstrated the safety and dependability of using a monocusp valve for total repair in treating TOF. Compared with patients with a transannular patch for complete repair, people with TOF who had a monocusp valve for complete repair had better perioperative and postoperative outcomes. In the present investigation, there was no difference between short-term and long-term echocardiographic measures, suggesting that TOF repair using a monocusp valve is reliable over the long term. | ||||
| Keywords | ||||
| Follow-up; Monocusp valve; Tetralogy of Fallot repair | ||||
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