Post Tetralogy of Fallot repair echocardiography (TOF)

Tetralogy of Fallot (TOF) has a spectrum of cardiac defects results from anterosuperior deviation of the conal septum, This leads to the four well-known components of TOF:
Anterior malalignment ventricular septal defect (VSD)
Aortic override over the muscular septum
Variable degrees of subvalvar, valvar, and supravalvar pulmonary stenosis
Right ventricular (RV) infundibular narrowing and RV hypertrophy.
AfterTOF repair, patients show variable degrees of PR, RV dilatation and TR
#echocardiography #pediatriccardiology #echocardiogram #EACVI #congenitalheartdefect #congenitalheartdisease
#echo #echo

[@pinkychinnukoshy6452]

Nice case video👏

[@evan_emad]

I'm glad you liked it! 👍

[@meri1085]

Nice case video.. Could you please tell the points to decide on RVOT stent v/s mBT shunt. Why some patients have RVOT stent instead of mBT shunt for TOF palliation.

[@evan_emad]

Thank you for your comment Both options are for augmentation of pulmonary flow. RVOT stenting enhances better, more rapid, and more uniform growth of the central pulmonary arteries. It also leads to a greater rise in oxygen saturations compared with a modified BT shunt procedure with a shorter hospital stay. RVOT stenting needs a well-formed RV. MBT shunts can be performed regardless of the nature of the RV. RVOT stent needs good-sized pulmonary artery branches, and mbt shunts can be performed with hypoplastic branches RVOT can destroy pulmonary valve leaflets, so preferred in cases with very small pulmonary annulus

[@itz_kunal_xyt5443]

Sir what life expectancy after complete tetralogy of fallot repair

[@kason2024]

❤️ *promo sm*

[@evan_emad]

🙏🙏