PMID- 15229736
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20050203
LR  - 20181113
IS  - 0730-2347 (Print)
IS  - 0730-2347 (Linking)
VI  - 14
IP  - 2
DP  - 1987 Jun
TI  - Total correction of tetralogy of fallot in adults: surgical results and long-term 
      follow-up.
PG  - 160-9
AB  - From 1962 to 1983, 117 patients between the ages of 16 and 72 years (mean, 25 
      years) underwent total correction of tetralogy of Fallot. All patients were 
      operated on because of recent deterioration. Eighty (68%) had had previous 
      surgical palliation. Complications occurred in 38 cases (32%) before total 
      correction and were more frequent in older patients. The hospital mortality was 
      7.8% and was highest in older patients and those with a previous Potts shunt. 
      Fifty-nine patients were followed up for as long as 23 years (mean, 9.2 years) 
      after total correction. The probability of survival at 5, 10, and 15 years after 
      total correction was 96%, 96%, and 84%, respectively. The actuarial freedom from 
      any significant cardiovascular event at 5, 10, and 15 years was 84%, 73%, and 
      50%, respectively. Reoperation was required in ten cases (17%), in which there 
      was one operative death. Late death occurred in four cases (6.8%). Left 
      ventricular dysfunction was documented in ten patients (17%), three of whom had 
      mural thrombi and two of whom had cerebrovascular accidents. A significant rhythm 
      disorder was present in 13 patients. Fifty-four of the 55 surviving patients were 
      in New York Heart Association (NYHA) functional class I or II at last follow-up. 
      We conclude that 1) total correction of tetralogy of Fallot in adults is 
      associated with a low operative mortality, similar to that in children, and 
      offers symptomatic relief in most cases; 2) the long-term survival is excellent, 
      but late sequelae become more frequent at late follow-up; 3) "corrective" 
      reoperation can be done with a low risk; and 4) most of the survivors are in NYHA 
      functional class I or II and lead normal, productive lives.
FAU - Park, I S
AU  - Park IS
AD  - Department of Cardiology, Texas Heart Institute of St. Luke's Episcopal Hospital, 
      Houston, Texas, USA.
FAU - Leachman, R D
AU  - Leachman RD
FAU - Cooley, D A
AU  - Cooley DA
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Tex Heart Inst J
JT  - Texas Heart Institute journal
JID - 8214622
PMC - PMC324716
EDAT- 1987/06/01 00:00
MHDA- 2004/07/02 05:00
CRDT- 1987/06/01 00:00
PHST- 1987/06/01 00:00 [pubmed]
PHST- 2004/07/02 05:00 [medline]
PHST- 1987/06/01 00:00 [entrez]
PST - ppublish
SO  - Tex Heart Inst J. 1987 Jun;14(2):160-9.