[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Indexing Sources::
Guide for Authors::
Online Submission::
Ethics::
Articles archive::
For Reviewers::
Contact us::
::
Basic and Clinical Biochemistry and Nutrition
..
DOAJ
..
CINAHL
..
EBSCO
..
IMEMR
..
ISC
..
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
enamad
..
:: Volume 26, Issue 2 (Bimonthly 2022) ::
Feyz Med Sci J 2022, 26(2): 240-246 Back to browse issues page
Evaluation of patients with tetralogy of fallot by cardiac MRI after complete surgical repair in Rajaei heart center, Tehran, Iran
Ramin Ebrahimi , Marzieh Motevalli , Milad Benam , Sadaf Saneh , Erfan Mohammadi-Vajari *
Medical Student, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, I.R. Iran. , erfanmv76@gmail.com
Abstract:   (1775 Views)
Background: Tetralogy of Fallot is the most common type of cyanotic congenital heart disease. The underlying mechanisms that contribute to heart dysfunction in patients with repaired tetralogy of Fallot are incompletely understood. In this study, the cardiac function indexes and residual complications after Fallot tetralogy complete surgical repair was evaluated.
Materials and Methods: In this cross-sectional study, clinical data and information obtained from cardiac magnetic resonance (CMR) gathered from 150 consecutive patients with repaired tetralogy of Fallot. Cardiac function indexes and residual complications evaluated in the patients.

Results: Mean age of patients was 22.5±9.6 years. Sixty patients (40%) were female and 90 patients (60%) were female. Mean of Left ventricular Ejection Fraction and mean of Right ventricular Ejection Fraction was 54.9±7.5 and 38.6±8.3 percent, respectively. Left ventricular Dilatation in 19 (12.7%) and Right ventricular Dilatation in 141 (94%) patients was observed. RVOT dilatation in 143 (95.3), residual pulmonary stenosis in 39 (26%), ASD (Atrial Septal Defect) in 1 (0.7%), VSD (Ventricular Septal Defect) in 40 (26.7%), PDA (Patent ductus arteriosus) in 11 (7.3%) and Delayed Enhancement of RVOT in 125 (83.3%) patients was positive.
Conclusions: Residual complications following repair of tetralogy of Fallot, especially in the right ventricle, are common and CRM may be a diagnostic instrument for follow-up in patients with congenital heart disease after repairing surgery.
 
Keywords: Tetralogy of fallot, Cardiac MRI, Surgical repair
Full-Text [PDF 842 kb]   (747 Downloads)    
Type of Study: Applicable | Subject: medicine, paraclinic
Received: 2021/11/5 | Revised: 2022/08/15 | Accepted: 2022/05/8 | Published: 2022/05/30
References
1. Anderson RH, Weinberg PM. The clinical anatomy of tetralogy of fallot. Cardiol Young 2005; 15 Suppl 1: 38-47.
2. Al Habib HF, Jacobs JP, Mavroudis C, Tchervenkov CI, O'Brien SM, Mohammadi S, et al. Contemporary patterns of management of tetralogy of Fallot: data from the Society of Thoracic Surgeons Database. Ann Thorac Surg 2010; 90(3): 813-9.
3. Kanter KR, Kogon BE, Kirshbom PM, Carlock PR. Symptomatic neonatal tetralogy of Fallot: repair or shunt? Ann Thorac Surg 2010; 89(3): 858-63.
4. Aboulhosn J, Child JS. Management after childhood repair of tetralogy of fallot. Curr Treat Options Cardiovasc Med 2006; 8(6): 474-83.
5. Vial J, Bouzerar R, Pichois R, Lhostis F, Raad O, Mathiron A, et al. MRI Assessment of Right Ventricular Volumes and Function in Patients with Repaired Tetralogy of Fallot Using kat-ARC Accelerated Sequences. AJR Am J Roentgenol 2020; 215(4): 807-17.
6. Baharestani B, Rostami MR, Omrani GR, Yousefinia MA, Raisi K, Givtaj N, et al. Evaluation of pulmonary regurgitation following Tetralogy of Fallot repair. Iran Heart J 2010; 11(2): 14-24.
7. Pillutla P, Shetty KD, Foster E. Mortality associated with adult congenital heart disease: Trends in the US population from 1979 to 2005. Am Heart J 2009; 158(5): 874-9.
8. Pacifico AD, Kirklin JK, Colvin EV, McConnell ME, Kirklin JW. Transatrial-transpulmonary repair of tetralogy of Fallot. Semin Thorac Cardiovasc Surg 1990; 2(1): 76-82.
9. Duro RP, Moura C, Leite-Moreira A. Anatomophysiologic basis of tetralogy of Fallot and its clinical implications. Rev Port Cardiol 2010; 29(4): 591-630.
10. Norton KI, Tong C, Glass RBJ, Nielsen JC. Cardiac MR Imaging Assessment Following Tetralogy of Fallot Repair. RadioGraphics 2006; 26: 197–211.
11. Fratz S, Schuhbaeck A, Buchner C, Busch R, Meierhofer C, Martinoff S, et al. Comparison of accuracy of axial slices versus short-axis slices for measuring ventricular volumes by cardiac magnetic resonance in patients with corrected tetralogy of fallot. Am J Cardiol 2009; 103(12): 1764-9.
12. Babu-Narayan SV, Kilner PJ, Li W, Moon JC, Goktekin O, Davlouros PA, et al. Ventricular Fibrosis Suggested by Cardiovascular Magnetic Resonance in Adults with Repaired Tetralogy of Fallot and Its Relationship to Adverse Markers of Clinical Outcome. Circulation 2006; 113: 405-13.
13. Oosterhof T, van Straten A, Vliegen HW, Meijboom FJ, van Dijk AP, Spijkerboer AM, et al. Preoperative thresholds for pulmonary valve replacement in patients with corrected tetralogy of Fallot using cardiovascular magnetic resonance. Circulation 2007; 116(5): 545-51.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ebrahimi R, Motevalli M, Benam M, Saneh S, Mohammadi-Vajari E. Evaluation of patients with tetralogy of fallot by cardiac MRI after complete surgical repair in Rajaei heart center, Tehran, Iran. Feyz Med Sci J 2022; 26 (2) :240-246
URL: http://feyz.kaums.ac.ir/article-1-4493-en.html


Creative Commons License
This open access journal is licensed under a Creative Commons Attribution-NonCommercial ۴.۰ International License. CC BY-NC ۴. Design and publishing by Kashan University of Medical Sciences.
Copyright ۲۰۲۳© Feyz Medical Sciences Journal. All rights reserved.
Volume 26, Issue 2 (Bimonthly 2022) Back to browse issues page
مجله علوم پزشکی فیض Feyz Medical Sciences Journal
Persian site map - English site map - Created in 0.05 seconds with 46 queries by YEKTAWEB 4660