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Tetralogy of Fallot repair in patients presenting after Infancy: A single surgeon experience
| Content Provider | Semantic Scholar |
|---|---|
| Author | Waqar, Tariq Riaz, Muhammad Usman Mahar, Tania |
| Copyright Year | 2017 |
| Abstract | OBJECTIVE To determine the early surgical outcomes of Tetralogy of Fallot (TOF) repair in children and young adults operated after the age of one year. METHODS In this retrospective study, 307 cases of primary repair of Tetralogy of Fallot were done between September 2012 to February 2017, at CPE Institute of cardiology, Multan. Out of 307 operated patients, 4 (1.3%) patients had previous modified Blalock Taussig shunts, 2 (0.6%) associated ASD with TOF, 3 (0.9%) co-association of TOF with PDA, 2 (0.6%) had large conal arterial branch crossing the annulus, 3 (0.9%) had dextrocardia with situs inversus, 12 (3.9%) TOF with double outlet right ventricle (DORV), 2 (0.6%) were associated with complete AV canal defect, 8 (2.60%) with absent pulmonary valve syndrome, 15 (5.5%) with left pulmonary artery stenosis. Data of post-operative complications and operative parameters was recorded for all patients. RESULTS Mean age of operated patients was 9.56±4.89 years. Post-operative complications occurred in 7.8% of patients. Most common post-operative complications were pleural effusion with a frequency of 12(3.9%) patients, and complete heart block in one patient. Insignificant small residual VSD was diagnosed in 8 (2.6%) patients. One moderately large VSD was closed surgically after one year of 1st surgery. Moderate to severe pulmonary valve regurgitation was diagnosed in 114 (37.1%) patients. Mild to moderate tricuspid regurgitation in 15 (4.8%) patients and moderate right ventricular outflow tract obstruction (RVOT) in 16 (5.2%) patients. Thirty-day mortality was only four (1.3%). CONCLUSION Surgical correction of Tetralogy of Fallot (TOF) in children after one year carries good operative outcomes with minimum morbidity and mortality. |
| Starting Page | 984 |
| Ending Page | 987 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 29067078v1 |
| Alternate Webpage(s) | https://doi.org/10.12669/pjms.334.12891 |
| DOI | 10.12669/pjms.334.12891 |
| Journal | Pakistan journal of medical sciences |
| Volume Number | 33 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Arterial stenosis Atrial Septal Defects Cardiology discipline Complete atrioventricular block Congenital absence of pulmonic valve Dextrocardia Double Outlet Right Ventricle Heart Block Heart Ventricle Left pulmonary artery Manuscripts Mitral Valve Prolapse Syndrome Morbidity - disease rate Obstruction Operative Surgical Procedures Patients Pleural effusion disorder Pulmonary Valve Insufficiency Pulmonary artery stenosis Pulmonary artery structure Pulmonary valve structure Regurgitation Right ventricular structure Situs Inversus Structure of outflow tract of right ventricle Tachycardia, Ventricular Tetralogy of Fallot Tricuspid Valve Insufficiency Ventricular Septal Defects |
| Content Type | Text |
| Resource Type | Article |
