ArticleSaudi medical journal2025
Clinical outcomes of tetralogy canal repair: A multidisciplinary perspective.
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19 authors.
Mohamed H MashaliFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Gaser A AbdelmohsenFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-0361-2921
Ahmed S BaamerFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Mohamed S ElhudairyFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Naif A AlkhushiFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Saud A BahaidarahFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Mohamed H AbdelsalamFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Ahmed R ElakabyFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Khadijah A MaghrabiFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Ahmed S AzharFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Zaher F ZaherFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Jameel A Al AtaFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Osman O Al-RadiFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Ahmed A JamjoomFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Mohammad S ShihataFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Ahmed F ElmahroukFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Ahmed M DohainFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Faris A BaamerFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Samia A BekheetFrom the Pediatric Cardiology Division (Mashali, Abdelmohsen, Baamer, Elhudairy, Alkhushi, Bahaidarah, Abdelsalam, Elakaby, Maghrabi, Azhar, Zaher, Al Ata, Dohain, Baamer), Department of Pediatrics, King Abdulaziz University, Jeddah, Saudi Arabia, From the Department of Cardiac Surgery (Al-Radi, Jamjoom, Shihata, Elmahrouk), King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, From the Department of Pediatrics (Dohain), King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia, From the Department of Cardiology (Abdelsalam), Banaha University, Banha, Egypt, From the Department of Pediatric (Elakaby) Al Azhar University, Cairo, Egypt and from the Division of Pediatric Cardiology (Mashali, Abdelmohsen, Dohain, Bekheet), Department of Pediatrics, Cairo University, Cairo, Egypt.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess the surgical outcomes of atrioventricular septal defect associated with Tetralogy of Fallot (AVSD)-TOF repair performed at 2 specialized cardiac centers.
methodsFrom May 2012 to December 2024, 20 patients diagnosed with AVSD-TOF who underwent surgical repair were included.
resultsThe median age at the time of surgical repair was 13 months, with a median weight of 8.2 kg (IQR: 6.2-11.5 kg). Biventricular repair was successfully performed in 18 patients (90%), while one and half ventricular repair was required in 2 patients (10%). Before definitive repair, palliative procedures, including bidirectional Glenn shunts, were carried out in 2 patients (10%), and right ventricular outflow tract (RVOT) stenting in another 2 patients (10%). Postoperative complications included a third-degree heart block requiring pacemaker implantation in 10% and chylothorax in 15%. The median duration of chest drains was 10 days. In 40% of patients, reintervention was required, involving catheter-based procedures and redo surgeries for residual lesions. Despite these complexities, overall survival was 90%, with all patients surviving to hospital discharge.
conclusionBiventricular repair of AVSD-TOF is feasible and offers favorable early survival. However, the complexity of the condition, frequent reinterventions, and residual lesions highlight the need for individualized surgical/interventional planning and long-term follow-up.
Indexed as
Cardiac Surgical ProceduresTetralogy of FallotChild, PreschoolFemaleHumansInfantMalePostoperative ComplicationsRetrospective StudiesTreatment OutcomeAtrioventricular septal defectMultidisciplinary CareOutcomePediatricsTetralogy of Fallot
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