PMID- 2061994
OWN - NLM
STAT- MEDLINE
DCOM- 19910806
LR  - 20190817
IS  - 0047-1828 (Print)
IS  - 0047-1828 (Linking)
VI  - 55
IP  - 5
DP  - 1991 May
TI  - Reoperation following total repair of congenital heart disease.
PG  - 453-8
AB  - For the past 25 years we have performed 61 reoperations in 58 patients with 
      congenital heart disease who previously underwent total correction for the 
      diagnosed ventricular septal defect, tetralogy of Fallot, atrioventricular septal 
      defect, atrial septal defect, total anomalous pulmonary venous connection 
      (TAPVC), and other involvement for 27, 11, 5, 4, 4, and 7 patients, respectively. 
      Causes of reoperation included 43 events of valvular lesion, 29 of residual 
      septal defect, 5 of conduit failure, 5 of venous obstruction, 3 of hemolysis, 3 
      of infective endocarditis, and 2 of prosthetic valve dysfunction. Although 5 
      early and 4 late deaths were encountered, the remaining 49 patients (3 in New 
      York Heart Association (NYHA) Class II and 46 in NYHA class I or II) survived the 
      reoperation. The patients were followed up by echocardiography and chest X-ray 
      examination, and reoperation was indicated under the following conditions: 
      moderate to severe valvular insufficiency; residual defect causing the shunt 
      ratio to be over 30% or a systolic pulmonary pressure over 50 mmHg; or a high 
      pressure gradient over 50 mmHg across the right ventricular outflow tract. Early 
      timing for reoperation seemed to be important in patients with pulmonary venous 
      obstruction, prosthetic dysfunction, severe hemolysis and infective endocarditis.
FAU - Isomura, T
AU  - Isomura T
AD  - Second Department of Surgery, Kurume University Hospital, Japan.
FAU - Hisatomi, K
AU  - Hisatomi K
FAU - Andoh, F
AU  - Andoh F
FAU - Kawara, T
AU  - Kawara T
FAU - Hirano, A
AU  - Hirano A
FAU - Kosuga, K
AU  - Kosuga K
FAU - Ohishi, K
AU  - Ohishi K
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Jpn Circ J
JT  - Japanese circulation journal
JID - 7806868
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Blood Vessel Prosthesis
MH  - Child
MH  - Child, Preschool
MH  - Heart Defects, Congenital/*surgery
MH  - Heart Septal Defects, Atrial/surgery
MH  - Heart Septal Defects, Ventricular/surgery
MH  - Heart Valve Prosthesis
MH  - Humans
MH  - Infant
MH  - Prosthesis Failure
MH  - Pulmonary Veins/abnormalities/surgery
MH  - Reoperation
MH  - Tetralogy of Fallot/surgery
MH  - Time Factors
EDAT- 1991/05/01 00:00
MHDA- 1991/05/01 00:01
CRDT- 1991/05/01 00:00
PHST- 1991/05/01 00:00 [pubmed]
PHST- 1991/05/01 00:01 [medline]
PHST- 1991/05/01 00:00 [entrez]
AID - 10.1253/jcj.55.453 [doi]
PST - ppublish
SO  - Jpn Circ J. 1991 May;55(5):453-8. doi: 10.1253/jcj.55.453.