PMID- 17447508
OWN - NLM
STAT- MEDLINE
DCOM- 20070817
LR  - 20181113
IS  - 1863-6705 (Print)
IS  - 1863-6705 (Linking)
VI  - 55
IP  - 3
DP  - 2007 Mar
TI  - Tetralogy of Fallot in teenagers and adults: surgical experience and follow-up.
PG  - 105-12
AB  - OBJECTIVE: The aim of this study was to review short- and long-term outcomes 
      following total correction in patients with tetralogy of Fallot that presented 
      during adulthood. METHODS: It was a retrospective analysis of 284 patients (aged 
      14-50 years, mean 19.4 +/- 2.5 years) with tetralogy of Fallot who underwent 
      total correction at our institution between January 1991 and December 2001. 
      Thirty patients were subjected to postoperative first-pass radionuclide 
      angiocardiography scans. A Hindi version of the standard World Health 
      Organization quality of life proforma was mailed to 120 patients operated on 
      during the first half of the study period. RESULTS: Altogether, 45 (15.8%) 
      patients had palliative shunts, and 32 (11%) had preoperative coil embolization. 
      The transatrial/transpulmonary artery approach was used in 62 (22%) patients, the 
      transventricular approach in 86 (30%) patients, and a combined approach in 136 
      (48%) patients. A transannular pericardial patch was used in 200 (70%) patients. 
      A total of 61 (21%) patients had nonfatal complications. There were 28 hospital 
      deaths. Follow-up ranged from 1 month to 10 years (mean 4.6 +/- 2.3 years). There 
      were 7 (2.5%) late deaths and 6 (2.1%) reoperations. Altogether, 94% of patients 
      were in New Yk Heart Association (NYHA) class I. Radionuclide angiocardiography 
      showed normal right ventricular and left ventricular function in 18 (60%) and 22 
      (73%) patients, respectively. All of the 66 respondents perceived an improved 
      quality of life. The actuarial survival and freedom from reoperation at 10 years 
      were 82.88% +/- 3.80% and 92.82% +/- 3.40%, respectively. CONCLUSION: Total 
      correction in this subset of patients offers the best option for long-term 
      symptom-free survival.
FAU - Bisoi, Akshay Kumar
AU  - Bisoi AK
AD  - Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical 
      Sciences, Ansari Nagar, New Delhi, India. bisoiak@rediffmail.com
FAU - Murala, John Santosh Kumar
AU  - Murala JS
FAU - Airan, Balram
AU  - Airan B
FAU - Chowdhury, Ujjwal Kumar
AU  - Chowdhury UK
FAU - Kothari, Shyam Sunder
AU  - Kothari SS
FAU - Pal, Hemraj
AU  - Pal H
FAU - Patel, Chetan D
AU  - Patel CD
FAU - Sai Krishna, Cheemalapati
AU  - Sai Krishna C
FAU - Chauhan, Sandeep
AU  - Chauhan S
FAU - Panangipalli, Venugopal
AU  - Panangipalli V
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Gen Thorac Cardiovasc Surg
JT  - General thoracic and cardiovascular surgery
JID - 101303952
SB  - IM
EIN - Gen Thorac Cardiovasc Surg. 2008 Apr;56(4):203. Cheemalapati, Sai Krishna 
      [corrected to Sai Krishna, Cheemalapati]
MH  - Adolescent
MH  - Adult
MH  - Analysis of Variance
MH  - *Cardiac Surgical Procedures
MH  - Disease-Free Survival
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - India
MH  - Male
MH  - Middle Aged
MH  - Quality of Life
MH  - Radionuclide Imaging
MH  - Reoperation
MH  - Research Design
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Stroke Volume
MH  - Tetralogy of Fallot/diagnostic imaging/epidemiology/physiopathology/*surgery
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2007/04/24 09:00
MHDA- 2007/08/19 09:00
CRDT- 2007/04/24 09:00
PHST- 2007/04/24 09:00 [pubmed]
PHST- 2007/08/19 09:00 [medline]
PHST- 2007/04/24 09:00 [entrez]
AID - 10.1007/s11748-006-0087-1 [doi]
PST - ppublish
SO  - Gen Thorac Cardiovasc Surg. 2007 Mar;55(3):105-12. doi: 
      10.1007/s11748-006-0087-1.