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Title: :  Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review
PaperId: :  27862
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 11 Issue 6 2025
DUI:    16.0415/IJARIIE-27862
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
Mujeeb-Ur-RehmanDepartment of Pediatric And Congenital Cardiac Surgery First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China
Najeeb UllahDepartment of Endocrinology First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China
Mubashir HasanDepartment of Radiology First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China
Anil MehtaDept. of Obstetrics and Gynaecology First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China
Corresponding Author *Professor Ma Chuang, Dept. of Orthopedics and Micro vascular Surgery, First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China

Abstract

Medicine/Surgery
Tetralogy of Fallot (TOF),Cyanotic congenital heart defect (CHD),Right ventricular outflow tract (RVOT).Ventricular septal defect (VSD),Pulmonary valve (PV),Transannular patch (TAP) Cardiopulmonary bypass [CPB]
Tetralogy of Fallot (TOF) – the most common cyanotic congenital heart defect (CHD) in children – requires surgical repair to correct right ventricular outflow tract (RVOT) obstruction, ventricular septal defect (VSD), and maintain pulmonary valve (PV) function. This clinical review synthesizes 39 high-quality studies (2014–2025) encompassing 7,842 pediatric TOF patients to directly compare two primary repair techniques: transannular patch (TAP) repair and valve-sparing (VS) repair. Key endpoints evaluated included early outcomes (operative time, cardiopulmonary bypass [CPB] duration, hospital stay, mortality) and long-term outcomes (pulmonary regurgitation [PR] severity, right ventricular [RV] dilation, reoperation rate, exercise tolerance). VS repair was associated with superior long-term PV function: mild-to-moderate PR occurred in 28% of VS patients vs. 76% of TAP patients at 5 years, with RV dilation (z-score >2) reported in 15% of VS vs. 48% of TAP patients. Early outcomes were comparable: operative time (142 vs. 138 minutes), CPB duration (68 vs. 65 minutes), and 30-day mortality (<0.5% for both). Reoperation rates for PV dysfunction were 8% for VS vs. 29% for TAP at 10 years. Subgroup analysis confirmed VS repair as the preferred approach for patients with a native PV annulus ≥15 mm and minimal RVOT hypoplasia, while TAP remained indicated for severe RVOT hypoplasia (annulus <12 mm) or anomalous coronary anatomy. This review concludes that VS repair is a safe, durable alternative to TAP for select TOF patients, offering long-term benefits of preserved PV function, reduced RV morbidity, and fewer reoperations – critical for pediatric growth and quality of life. These findings provide frontline cardiothoracic surgeons with evidence-based guidance to optimize TOF repair outcomes.

Citations

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IJARIIE Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, and Corresponding Author *Professor Ma Chuang, . "Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review" International Journal Of Advance Research And Innovative Ideas In Education Volume 11 Issue 6 2025 Page 1823-1832
MLA Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, and Corresponding Author *Professor Ma Chuang, . "Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review." International Journal Of Advance Research And Innovative Ideas In Education 11.6(2025) : 1823-1832.
APA Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, & Corresponding Author *Professor Ma Chuang, . (2025). Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review. International Journal Of Advance Research And Innovative Ideas In Education, 11(6), 1823-1832.
Chicago Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, and Corresponding Author *Professor Ma Chuang, . "Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review." International Journal Of Advance Research And Innovative Ideas In Education 11, no. 6 (2025) : 1823-1832.
Oxford Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, and Corresponding Author *Professor Ma Chuang, . 'Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review', International Journal Of Advance Research And Innovative Ideas In Education, vol. 11, no. 6, 2025, p. 1823-1832. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/Comparison_of_Transannular_Patch_and_Valve_Sparing_Repair_Techniques_in_Tetralogy_of_Fallot__A_Clinical_Review_ijariie27862.pdf (Accessed : ).
Harvard Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, and Corresponding Author *Professor Ma Chuang, . (2025) 'Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review', International Journal Of Advance Research And Innovative Ideas In Education, 11(6), pp. 1823-1832IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/Comparison_of_Transannular_Patch_and_Valve_Sparing_Repair_Techniques_in_Tetralogy_of_Fallot__A_Clinical_Review_ijariie27862.pdf (Accessed : )
IEEE Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, and Corresponding Author *Professor Ma Chuang, , "Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review," International Journal Of Advance Research And Innovative Ideas In Education, vol. 11, no. 6, pp. 1823-1832, Nov-Dec 2025. [Online]. Available: https://ijariie.com/AdminUploadPdf/Comparison_of_Transannular_Patch_and_Valve_Sparing_Repair_Techniques_in_Tetralogy_of_Fallot__A_Clinical_Review_ijariie27862.pdf [Accessed : ].
Turabian Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, and Corresponding Author *Professor Ma Chuang, . "Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 11 number 6 ().
Vancouver Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, Anil Mehta, and Corresponding Author *Professor Ma Chuang, . Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical Review. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2025 [Cited : ]; 11(6) : 1823-1832. Available from: https://ijariie.com/AdminUploadPdf/Comparison_of_Transannular_Patch_and_Valve_Sparing_Repair_Techniques_in_Tetralogy_of_Fallot__A_Clinical_Review_ijariie27862.pdf
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