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.