Tetralogy of Fallot with aortic valvular stenosis: surgical correction in one case

Ghez, Olivier; Chétaille, Philippe; Campbell, Bruce; Praagh, Richard Van; Métras, D

doi:10.1016/s0003-4975(01)03017-x

Cited by 14 publications

(5 citation statements)

References 4 publications

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“…Early neonatal intracardiac repair can be an option in stable patients. [ 4 ] Overall, prognosis seems better in patients with less severe aortic stenosis[ 2 , 3 ] as indicated by our second case who had mild aortic stenosis in the newborn period and had a stable course in infancy.…”

Section: Discussionmentioning

confidence: 86%

“…The presence of aortic stenosis is very rarely described in the TOF, with less than 15 cases reported in literature. [ 1 , 3 - 7 ] Truncal valsve abnormalities, however, occur in one-third of patients with the common arterial trunk, the most frequent anomaly being the bicuspid aortic valve. Although truncal valves are more commonly regurgitant than stenotic, outflow stenosis is more commonly observed with common arterial trunk than TOF (11% vs. 1%) [ Table 1 ].…”

Section: Discussionmentioning

confidence: 99%

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Tetralogy of Fallot with aortic stenosis and common arterial trunk: Is there a morphological overlap?

Sasikumar¹,

Kakarla²,

Anoop³

2023

Ann Pediatr Card

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Tetralogy of Fallot with aortic stenosis and common arterial trunk: Is there a morphological overlap?

Sasikumar¹,

Kakarla²,

Anoop³

2023

Ann Pediatr Card

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“…Aortic stenosis is rarely associated with of tetralogy of Fallot. 1 To date, to the best of our knowledge, there are only four reported cases in the literature. The first cases were reported in 1968 by Glancy et al 2 These included rheumatic fever, endocarditis, and a bifoliate aortic valve without stenosis.…”

Section: Discussionmentioning

confidence: 99%

Aortic stenosis after uncomplicated surgical repair of tetralogy of Fallot

2003

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Tetralogy of Fallot is only rarely associated with aortic valvar disease. We present a child who had uncomplicated repair of tetralogy of Fallot at 16 months of age, and who developed mild aortic stenosis three years later, with mild to moderate aortic incompetence being seen two years subsequent to that event. No aortic valvar disease had been noted prior to surgery. No intervention is planned at this stage.

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“…A previous anatomical study showed a prevalence of 1 AoV lesion in 45 ToF specimens and to date, only a few case reports are available, including 2 mentions of SAV [20,[28][29][30]. Dodds et al [17] reported 16 patients with ToF/pulmonary atresia with ventricular septal defect requiring AVR for aortic regurgitation, with 1 death.…”

Section: Cchd Of the Right Heart And Other Cchdmentioning

confidence: 99%

“…Even when the association with AoV disease is well documented, such as hypoplastic left heart syndrome (HLHS) [9,10], transposition of the great arteries (TGA) [11][12][13][14] or interrupted aortic arch (IAA) [15,16], the details on AoV intervention are limited. Data are even more scarce in right heart or single ventricle defects, where only case reports or small series are available [17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Outcomes following aortic valve procedures in 201 complex congenital heart disease cases—results from the UK National Audit

Dorobantu

Visan

Tulloh

et al. 2020

Interactive CardioVascular and Thoracic Surgery

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OBJECTIVES Some patients with complex congenital heart disease (cCHD) also require aortic valve (AoV) procedures. These cases are considered high risk but their outcome has not been well characterized. We aim to describe these scenarios in the current practice, and provide outcome data for counselling and decision-making. METHODS This was a retrospective study using the UK National Congenital Heart Disease Audit data on cCHD patients undergoing aortic valve replacement, balloon dilation (balloon aortic valvuloplasty) or surgical repair (surgical aortic valve repair) between 2000 and 2012. Coarsened exact matching was used to pair cCHD with patients undergoing AoV procedures for isolated valve disease. RESULTS A total of 201 patients with a varied spectrum of cCHD undergoing 242 procedures were included, median age 9.4 years (1 day–65 years). Procedure types were: balloon aortic valvuloplasty (n = 31, 13%), surgical aortic valve repair (n = 57, 24%) and aortic valve replacement (n = 154, 63%). Mortality at 30 days was higher in neonates (21.8% vs 5.3%, P = 0.02). Survival at 10 years was 83.1%, freedom from aortic valve replacement 83.8% and freedom from balloon aortic valvuloplasty/surgical aortic valve repair 86.3%. Neonatal age (P < 0.001), single ventricle (P = 0.08), concomitant Fontan/Glenn (P = 0.002) or aortic arch procedures (0.02) were associated with higher mortality. cCHD patients had lower survival at 30 days (93% vs 100%, P = 0.003) and at 10 years (86.4% vs 96.1%, P = 0.005) compared to matched isolated AoV disease patients. CONCLUSIONS AoV procedures in cCHD can be performed with good results outside infancy, but with higher mortality than in isolated AoV disease. Neonates and patients with single ventricle defects, especially those undergoing concomitant Fontan/Glenn, have worse outcomes.

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Tetralogy of Fallot with aortic valvular stenosis: surgical correction in one case

Cited by 14 publications

References 4 publications

Tetralogy of Fallot with aortic stenosis and common arterial trunk: Is there a morphological overlap?

Tetralogy of Fallot with aortic stenosis and common arterial trunk: Is there a morphological overlap?

Aortic stenosis after uncomplicated surgical repair of tetralogy of Fallot

Outcomes following aortic valve procedures in 201 complex congenital heart disease cases—results from the UK National Audit

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