Comparison of Long-term Outcomes of Valve-Sparing and Transannular Patch Procedures for Correction of Tetralogy of Fallot.

ABSTRACT:

Importance

The choice of the right surgical technique for correction of tetralogy of Fallot (TOF) is contentious for patients with a moderate to severe right outflow tract obstruction. The use of a transannular patch (TAP) exposes patients to chronic pulmonary regurgitation, while valve-sparing (VS) procedures may incompletely relieve pulmonary obstruction.

Objective

To compare 30-year outcomes of TOF repair after a VS procedure vs TAP.

Design, setting, and participants

This retrospective population-based cohort study was conducted among all patients with TOF born in the province of Quebec, Canada, from 1980 to 2015 who underwent complete surgical repair. Patients who received a TAP or VS procedure were matched using a propensity score based on preoperative factors in

SUBMITTER: Blais S 

PROVIDER: S-EPMC8317016 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature