PMID- 1485314
OWN - NLM
STAT- MEDLINE
DCOM- 19930216
LR  - 20191028
IS  - 0171-6425 (Print)
IS  - 0171-6425 (Linking)
VI  - 40
IP  - 5
DP  - 1992 Oct
TI  - Total correction of tetralogy of Fallot in adolescents and adults.
PG  - 261-5
AB  - From 1976 to 1988, 23 adolescent and adult patients underwent total correction of 
      tetralogy of Fallot. There were 13 males and 10 females, ranging in age from 16 
      to 47 years (mean 24.3 +/- 8.6 years). Eight patients were in New York Heart 
      Association (NYHA) functional class II, 14 patients in class III, and one patient 
      in class IV. Sixteen patients (69.6%) had undergone previous palliative 
      operation. All shunts were patent at the time of repair. In 9 patients bovine 
      pericardial monocusp patches were used for reconstruction of the 
      right-ventricular outflow tract. Intraoperatively, the right-ventricular to 
      left-ventricular systolic pressure ratio after repair ranged from 0.29 to 0.80 
      (mean 0.49 +/- 0.13). There were 2 early deaths (8.7%). Eight of 23 patients 
      (34.8%) exhibited postoperative low cardiac output syndrome. One late death 
      occurred: a 22-year-old male patient died of Staphylococcus sepsis 8 months 
      postoperatively. All surviving patients were followed from 3 to 15 years (mean 
      8.3 +/- 2.7 years). No patient required reoperation in the follow-up period. The 
      actuarial survival estimate for all 23 patients was 87% at the end of 15 years. 
      At follow-up 17 patients were in NYHA class I, two were in class II, and one was 
      judged to be in class III. We believe advanced age is no contraindication to 
      surgery in tetralogy of Fallot. Adolescents and adults remain in need of total 
      correction which can be performed with acceptable risk and long-term symptomatic 
      improvement.
FAU - Lukacs, L
AU  - Lukacs L
AD  - Hungarian Institute of Cardiology, Budapest.
FAU - Kassai, I
AU  - Kassai I
FAU - Arvay, A
AU  - Arvay A
LA  - eng
PT  - Journal Article
PL  - Germany
TA  - Thorac Cardiovasc Surg
JT  - The Thoracic and cardiovascular surgeon
JID - 7903387
SB  - IM
MH  - Actuarial Analysis
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications
MH  - Systole
MH  - Tetralogy of Fallot/mortality/*surgery
MH  - Ventricular Function, Left
EDAT- 1992/10/01 00:00
MHDA- 1992/10/01 00:01
CRDT- 1992/10/01 00:00
PHST- 1992/10/01 00:00 [pubmed]
PHST- 1992/10/01 00:01 [medline]
PHST- 1992/10/01 00:00 [entrez]
AID - 10.1055/s-2007-1020161 [doi]
PST - ppublish
SO  - Thorac Cardiovasc Surg. 1992 Oct;40(5):261-5. doi: 10.1055/s-2007-1020161.