Volution of Pulmonary Artery Dimensions in Tetralogy of Fallot

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age0-18
SponsorUniversity Hospital, Strasbourg, France

About this trial

Tetralogy of Fallot is the most common cyanotic congenital heart disease. Management strategies vary between primary repair and staged approaches including palliative surgery. The development of pulmonary arteries is a key determinant in surgical decision-making.

This multicenter retrospective observational study aims to evaluate the evolution of pulmonary artery dimensions using the Nakata index at key stages of patient management (birth, palliative surgery, and complete repair). The goal is to assess its predictive value in optimizing surgical strategy and improving outcomes in patients with Tetralogy of Fallot or pulmonary atresia with ventricular septal defect.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged from birth to less than 18 years

Patients operated at Strasbourg or Bordeaux University Hospitals between 01/01/2010 and 31/12/2024

Patient (or legal guardians) not opposing the reuse of medical data for research purposes

Disqualifiers

Patient expressing opposition to participation in the study

Parents/legal guardians or minor opposing data reuse

Specific clinical forms (VDDI)

Absence of subvalvular obstruction and absence of muscular resection

Trial population

Pediatric patients with Tetralogy of Fallot or related conditions managed surgically in tertiary care centers in Strasbourg and Bordeaux.

Trial design

Design model

Case-only

Time perspective

Retrospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Nakata index evolution and predictive value

Assessment of the Nakata index based on pulmonary artery diameters measured on imaging at different time points (birth, palliative surgery, complete repair), and evaluation of its association with surgical outcomes using predefined thresholds (108 and 160 mm²/m²).

Time frame
From birth to complete surgical repair (retrospective data 2010-2024)

Secondary outcomes

Other outcomes

Sponsors and contacts

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