4|CONCLUSION
In conclusion, valve-sparing aortic root replacement using the Yacoub
technique for aortic root dilation and severe AR, with a concomitant
repair of tetralogy of Fallot in previously unoperated adult patients is
feasible with excellent surgical outcomes. Studies examining long-term
outcomes are warranted to validate the effectiveness of the VSARR
technique further while exploring other innovative surgical approaches
in the management of TOF patients with aortic dilation.