The impact of native Fallot anatomy on future therapeutic requirements and outcomes at follow-up.

ABSTRACT:

Background

In patients with repaired Fallot, subsequent surgical or interventional procedures and adverse cardiac events are frequent. We aimed to evaluate the impact of a simple pre-operative anatomic classification based on the size of the pulmonary valve (PV) annulus and branches on future therapeutic requirements and outcomes.

Method

This is a single-center retrospective analysis of patients operated for Fallot before the age of 2 years, from January 1990. Pre-operative anatomy, surgical and interventional procedures and adverse events were extrapolated from clinical records.

Results

Among the 312 patients, a description of the PV and pulmonary arteries (PAs) native anatomy was known in 239 patients (male:147, 61.5%), which were divided in the following 3 groups:

SUBMITTER: Ravaglioli A 

PROVIDER: S-EPMC8214257 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature