{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T13:28:53Z","timestamp":1748266133622,"version":"3.40.5"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T00:00:00Z","timestamp":1712880000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951124000441_as1\"><jats:title>Objective:<\/jats:title><jats:p>We report the midterm results of our strategy utilizing transatrial-transpulmonary repair for tetralogy of Fallot at a single institution in a low-middle income country.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124000441_as2\"><jats:title>Methods:<\/jats:title><jats:p>Medical records were retrospectively reviewed for 532 consecutive patients who underwent definitive repair of tetralogy of Fallot at our institution from 2010 to 2020.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124000441_as3\"><jats:title>Results:<\/jats:title><jats:p>The median age and weight of patients in the study patients were 11.6 months (interquartile range, 8.6\u201317.2 months) and 7.5 kg (interquartile range, 6.8-8.8 kg). The pulmonary valve annulus was preserved (no transannular patch) in 398 patients (75%) and a mini-transannular patch was utilized for 134 patients (25%). The overall survival was 98% at 1 year, and 97% at 10-years follow-up, respectively. Longer postoperative ventilation time was the only risk factor correlated to early death (p = 0.004; Odds Risk, 1.04; 95% confidence intervals, 1.01\u20131.07). Fourteen patients required pulmonary valve replacement (2.6%, 14\/532), four required surgical resection to relieve right ventricular outflow tract obstruction (0.8%, 4\/532), and freedom from reoperation of the right ventricular outflow tract was 87% at 10 years. The only risk factor for right ventricular outflow tract reoperation was a postoperative systolic pressure gradient through the right ventricular outflow tract of greater than 50 mmHg (p &lt; 0.001; HR, 47; 95% confidence intervals, 9.1\u2013244). In total, 94.6% (471\/489) of the patients were asymptomatic at the latest follow-up without significant arrhythmia.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951124000441_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>At our institution in an low-middle income country, the transatrial-transpulmonary repair for tetralogy of Fallot has excellent midterm results with few reoperations required. Close long-term follow-up is essential for patients who undergo repair with a mini-transannular patch and may eventually require pulmonary valve replacement.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951124000441","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T09:31:50Z","timestamp":1712914310000},"page":"1662-1669","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of pulmonary valve-sparing strategy for transatrial-transpulmonary repair of tetralogy of Fallot: a single institution experience"],"prefix":"10.1017","volume":"34","author":[{"given":"Dien T.","family":"Minh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uoc N.","family":"Huu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bao L.","family":"Tuan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mai N.","family":"Tuan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duyen M.","family":"Dinh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinh T.","family":"Quang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quang Le","family":"Hong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7389-359X","authenticated-orcid":false,"given":"James","family":"St. Louis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Truong N.","family":"Ly Thinh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"S1047951124000441_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezu182"},{"key":"S1047951124000441_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.06.008"},{"key":"S1047951124000441_ref15","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2019.01.006"},{"key":"S1047951124000441_ref14","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.18141"},{"key":"S1047951124000441_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.03.110"},{"key":"S1047951124000441_ref4","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2018.4255"},{"key":"S1047951124000441_ref9","first-page":"126","article-title":"Assessment of a right-ventricular infundibulum-sparing approach in transatrial-transpulmonary repair of tetralogy of Fallot","volume":"41","author":"Bov\u00e9","year":"2011","journal-title":"Eur J Cardio Thorac Surg"},{"key":"S1047951124000441_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195509000-00010"},{"key":"S1047951124000441_ref7","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs221"},{"key":"S1047951124000441_ref11","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.005878"},{"key":"S1047951124000441_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(92)90646-L"},{"key":"S1047951124000441_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.10.011"},{"key":"S1047951124000441_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezs478"},{"key":"S1047951124000441_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0167-5273(96)02736-2"},{"key":"S1047951124000441_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.05.080"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951124000441","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T13:28:01Z","timestamp":1730813281000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951124000441\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,12]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["S1047951124000441"],"URL":"https:\/\/doi.org\/10.1017\/s1047951124000441","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2024,4,12]]},"assertion":[{"value":"\u00a9 The Author(s), 2024. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}