PMID- 2458076
OWN - NLM
STAT- MEDLINE
DCOM- 19880929
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 46
IP  - 3
DP  - 1988 Sep
TI  - Results of total correction of tetralogy of Fallot performed in adults.
PG  - 297-301
AB  - Today, total correction of tetralogy of Fallot is rarely performed in adults. In 
      a 10-year period, 40 patients aged 20 to 67 years underwent intracardiac repair 
      in our institution. Twenty-eight of them had had a palliative procedure 11 to 30 
      years earlier. Preoperatively, 23 patients were in New York Heart Association 
      (NYHA) Functional Class II, 14 were in Class III, and 3 were in Class IV. 
      Operative mortality was 2.5% (1/40). Follow-up ranged from 1 year to 11 years 
      (average, 3 years). One patient died of a noncardiac cause 4 years after 
      operation. Residual cardiac defects were observed in 4 patients. Postoperatively, 
      30 patients were in NYHA Functional Class I, 8 were in Class II, and 1 was in 
      Class III. Major ventricular arrhythmias were recorded in 7 (35%) of 20 patients. 
      Radionuclide angiography demonstrated impaired right ventricular function in 8 
      patients. Left ventricular impairment was present in 2. Total correction of 
      tetralogy of Fallot can be performed safely in adults with low mortality and good 
      functional improvement. The incidence of residual cardiac defects is low. The 
      long-term importance of impaired ventricular function and arrhythmias remains to 
      be ascertained.
FAU - Presbitero, P
AU  - Presbitero P
AD  - Istituto di Medicina e Chirurgia Cardiovascolare, Universita di Torino, Italy.
FAU - Demarie, D
AU  - Demarie D
FAU - Aruta, E
AU  - Aruta E
FAU - Villani, M
AU  - Villani M
FAU - Disumma, M
AU  - Disumma M
FAU - Ottino, G M
AU  - Ottino GM
FAU - Orzan, F
AU  - Orzan F
FAU - Fubini, A
AU  - Fubini A
FAU - Spinnler, M T
AU  - Spinnler MT
FAU - Conte, M R
AU  - Conte MR
AU  - et al.
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Adult
MH  - Aged
MH  - Arrhythmias, Cardiac/etiology
MH  - Evaluation Studies as Topic
MH  - Female
MH  - Follow-Up Studies
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Methods
MH  - Middle Aged
MH  - Palliative Care
MH  - Postoperative Complications/etiology/mortality
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Stroke Volume
MH  - Tetralogy of Fallot/mortality/*surgery
EDAT- 1988/09/01 00:00
MHDA- 1988/09/01 00:01
CRDT- 1988/09/01 00:00
PHST- 1988/09/01 00:00 [pubmed]
PHST- 1988/09/01 00:01 [medline]
PHST- 1988/09/01 00:00 [entrez]
AID - S0003-4975(10)65928-0 [pii]
AID - 10.1016/s0003-4975(10)65928-0 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 1988 Sep;46(3):297-301. doi: 10.1016/s0003-4975(10)65928-0.