{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T13:31:18Z","timestamp":1773063078693,"version":"3.50.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Department of Cardiovascular Surgery at the Fundaci\u00f3n Cardioinfantil\u2014IC"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Given the anatomical variations of tetralogy of Fallot (TOF), different surgical techniques can be used to achieve correction. Transannular patches (TAPs) are the most commonly used technique; they are associated with right ventricular dysfunction, the incidence of which can be reduced through pulmonary valve preservation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Between January 2010 and July 2019, we performed 274 surgical corrections of tetralogy of Fallot at Fundaci\u00f3n Cardioinfantil; 63 patients (23%) underwent repair with a TAP in addition to a pulmonary neovalve (Group I), 66 patients (24.1%) received a TAP without a pulmonary valve (Group II) and 145 patients (52.9%) had a repair with valve preservation (Group III). We analysed patient\u2019s characteristics before, during and after surgery at a 30-day follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>We found that patients in Group III were older (P\u2009=\u20090.04). Group II had the lowest level of O2 saturation before surgery (82%, P\u2009=\u20090.001). Cardiopulmonary bypass and aortic cross-clamp times were longer in Group I (P\u2009&amp;lt;\u20090.001). Right ventricular dysfunction was less frequent in Group III (15.9%, P\u2009=\u20090.011). Severe residual pulmonary regurgitation was more common in Group II (21.9%, P\u2009=\u20090.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Preservation of the pulmonary valve is an important factor for immediate postoperative management of tetralogy of Fallot. Patients who were repaired with a TAP with or without a pulmonary neovalve had a higher incidence of right ventricular dysfunction than those with pulmonary valve preservation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivac155","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T22:18:05Z","timestamp":1654035485000},"source":"Crossref","is-referenced-by-count":2,"title":["Repair with a pulmonary neovalve in tetralogy of Fallot: does this avoid ventricular dysfunction?"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2964-788X","authenticated-orcid":false,"given":"Albert Franz","family":"Guerrero","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6619-7465","authenticated-orcid":false,"given":"Ivonne Gisel","family":"Pineda-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres Mauricio","family":"Palacio","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Eduardo","family":"Obando","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomas","family":"Chalela","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Camacho","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Villa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Pablo","family":"Uma\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nestor Fernando","family":"Sandoval-Reyes","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Fundaci\u00f3n Cardioinfantil\u2014IC, Rosario University , Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,5,30]]},"reference":[{"key":"2022072011055964300_ivac155-B1","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1016\/j.athoracsur.2010.03.110","article-title":"Contemporary patterns of management of tetralogy of Fallot: data from the Society of Thoracic Surgeons Database","volume":"90","author":"Al Habib","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"2022072011055964300_ivac155-B2","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1093\/ejcts\/ezs478","article-title":"Results of reparative surgery for tetralogy of Fallot: data from the European Association for Cardio-Thoracic Surgery Congenital Database","volume":"42","author":"Sarris","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022072011055964300_ivac155-B3","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1053\/j.semtcvs.2018.10.015","article-title":"Tetralogy of Fallot in the current era","volume":"31","author":"Mouws","year":"2019","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2022072011055964300_ivac155-B4","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1111\/chd.12772","article-title":"Serial assessment of postoperative ventricular mechanics in young children with tetralogy of Fallot: comparison of transannular patch and valve-sparing repair","volume":"14","author":"Annavajjhala","year":"2019","journal-title":"Congenit Heart Dis"},{"key":"2022072011055964300_ivac155-B5","doi-asserted-by":"crossref","first-page":"2279","DOI":"10.1016\/S0735-1097(00)00989-X","article-title":"Elective primary repair of acyanotic tetralogy of Fallot in early infancy: overall outcome and impact on the pulmonary valve","volume":"36","author":"Parry","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"2022072011055964300_ivac155-B6","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/00000658-195509000-00010","article-title":"Direct vision intracardiac surgical correction of the tetralogy of Fallot, pentalogy of Fallot, and pulmonary atresia defects; report of first ten cases","volume":"142","author":"Lillehei","year":"1955","journal-title":"Ann Surg"},{"key":"2022072011055964300_ivac155-B7","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1053\/j.pcsu.2014.01.012","article-title":"Tetralogy of Fallot and pulmonary valve replacement: timing and techniques in the asymptomatic patient","volume":"17","author":"Fuller","year":"2014","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"2022072011055964300_ivac155-B8","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.cjca.2020.04.014","article-title":"Outcomes in young adults with tetralogy of Fallot and pulmonary annular preserving or transannular patch repairs","volume":"37","author":"Ducas","year":"2021","journal-title":"Can J Cardiol"},{"key":"2022072011055964300_ivac155-B9","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/j.jtcvs.2014.06.008","article-title":"Long-term outcomes after definitive repair for tetralogy of Fallot with preservation of the pulmonary valve annulus","volume":"148","author":"Hoashi","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022072011055964300_ivac155-B10","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/j.jtcvs.2006.10.039","article-title":"Pulmonary valve cusp augmentation with autologous pericardium may improve early outcome for tetralogy of Fallot","volume":"133","author":"Anagnostopoulos","year":"2007","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022072011055964300_ivac155-B11","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1053\/j.pcsu.2012.01.006","article-title":"Valve-sparing options in tetralogy of Fallot surgery","volume":"15","author":"Bacha","year":"2012","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"2022072011055964300_ivac155-B12","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1016\/j.athoracsur.2005.04.016","article-title":"Tetralogy of Fallot: results of a pulmonary valve-sparing strategy","volume":"80","author":"Stewart","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"2022072011055964300_ivac155-B13","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1016\/j.jtcvs.2015.01.030","article-title":"Preserving the pulmonary valve during early repair of tetralogy of Fallot: anatomic substrates and surgical strategies","volume":"149","author":"Vida","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022072011055964300_ivac155-B14","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1093\/ejcts\/ezx143","article-title":"Restrictive enlargement of the pulmonary annulus at repair of tetralogy of Fallot: a comparative 10-year follow-up study","volume":"52","author":"Logoteta","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022072011055964300_ivac155-B15","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1016\/j.ejcts.2008.07.048","article-title":"Restrictive enlargement of the pulmonary annulus at surgical repair of tetralogy of Fallot: 10-year experience with a uniform surgical strategy","volume":"34","author":"Voges","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022072011055964300_ivac155-B16","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1177\/0218492312444284","article-title":"Pulmonary cusp augmentation in repair of tetralogy of Fallot","volume":"21","author":"Attanawanich","year":"2013","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"2022072011055964300_ivac155-B17","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1016\/S0300-8932(10)70270-0","article-title":"Neov\u00e1lvula pulmonar en la correcci\u00f3n del Fallot con parche transanular","volume":"63","author":"Gil-Jaurena","year":"2010","journal-title":"Rev Esp Cardiol"},{"key":"2022072011055964300_ivac155-B18","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/j.jtcvs.2013.10.029","article-title":"Evolving strategies for preserving the pulmonary valve during early repair of tetralogy of Fallot: mid-term results","volume":"147","author":"Vida","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022072011055964300_ivac155-B19","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1177\/0218492310369185","article-title":"Pericardial monocusp for pulmonary valve reconstruction: a new technique","volume":"18","author":"Pande","year":"2010","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"2022072011055964300_ivac155-B20","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/S0003-4975(02)03926-7","article-title":"Pulmonic valve annular enlargement with valve repair in tetralogy of Fallot","volume":"75","author":"Sung","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"2022072011055964300_ivac155-B21","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.athoracsur.2018.02.057","article-title":"Clinical outcomes of root reimplantation and Bentall procedure: propensity score matching analysis","volume":"106","author":"Lee","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"2022072011055964300_ivac155-B22","doi-asserted-by":"crossref","first-page":"1446","DOI":"10.1016\/j.athoracsur.2018.05.080","article-title":"Tetralogy of Fallot repair in developing countries: international quality improvement collaborative","volume":"106","author":"Sandoval","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"2022072011055964300_ivac155-B23","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1097\/00000658-200010000-00006","article-title":"Complete repair of tetralogy of Fallot in the neonate: results in the modern era","volume":"232","author":"Hirsch","year":"2000","journal-title":"Ann Surg"},{"key":"2022072011055964300_ivac155-B24","doi-asserted-by":"crossref","first-page":"241","DOI":"10.5830\/CVJA-2018-021","article-title":"Short-term results of flanged Bentall de Bono and valve-sparing David V procedures for the treatment of aortic root aneurysms","volume":"29","author":"\u00d6zbek","year":"2018","journal-title":"Cardiovasc J Afr"},{"key":"2022072011055964300_ivac155-B25","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1111\/pan.13569","article-title":"Tetralogy of Fallot: everything you wanted to know but were afraid to ask","volume":"29","author":"Wise-Faberowski","year":"2019","journal-title":"Paediatr Anaesth"},{"key":"2022072011055964300_ivac155-B26","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1016\/S0002-9149(98)00171-4","article-title":"Right ventricular function and exercise performance late after primary repair of tetralogy of Fallot with the transannular patch in infancy","volume":"81","author":"Singh","year":"1998","journal-title":"Am J Cardiol"},{"key":"2022072011055964300_ivac155-B27","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1007\/s002460010050","article-title":"Course of right and left ventricular function in patients with pulmonary insufficiency after repair of tetralogy of Fallot","volume":"21","author":"Schamberger","year":"2000","journal-title":"Pediatr Cardiol"},{"key":"2022072011055964300_ivac155-B28","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/0003-4975(91)91354-X","article-title":"Extracardiac valved conduits in the pulmonary circuit","volume":"52","author":"Sano","year":"1991","journal-title":"Ann Thorac Surg"},{"key":"2022072011055964300_ivac155-B29","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1016\/S0022-5223(94)70349-3","article-title":"Fate of the pericardial monocusp pulmonary valve for right ventricular outflow tract reconstruction. Early function, late failure without obstruction","volume":"107","author":"Gundry","year":"1994","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022072011055964300_ivac155-B30","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/S0003-4975(01)03441-5","article-title":"PTFE monocusp valve reconstruction of the right ventricular outflow tract","volume":"73","author":"Turrentine","year":"2002","journal-title":"Ann Thorac Surg"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivac155\/43947825\/ivac155.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/35\/2\/ivac155\/45029654\/ivac155.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/35\/2\/ivac155\/45029654\/ivac155.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T11:06:39Z","timestamp":1658315199000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivac155\/6595031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,30]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,7,9]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivac155","relation":{},"ISSN":["1569-9293","1569-9285"],"issn-type":[{"value":"1569-9293","type":"print"},{"value":"1569-9285","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,8,1]]},"published":{"date-parts":[[2022,5,30]]},"article-number":"ivac155"}}