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Surgical Treatment of Tetralogy of Fallot in Children and Adolescents

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International Practice in Cardiothoracic Surgery

Abstract

Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease, especially in children and adolescents. Corrective surgery may be performed in most patients with satisfactory clinical and hemodynamic results[1]. From April 1973 to October 1982, 603 operations on 597 patients for tetralogy of Fallot were performed in our hospital. The operative procedures included infundibular resection and/or pulmonary valvotomy and closure of ventricular septal defect in 334 cases, repair of VSD with additional right ventricular outflow patch in 256 cases, repair of VSD with additional valved conduit graft between the right ventricle and pulmonary artery in 7 cases and reoperations for closure of residual ventricular septal defects in 6 cases. The operative mortality rate was 3.69% and the late mortality rate was 2.35%. Of the 450 patients with intracardiac pressures measured before closing the chest, 423 (94.0%) had RV/LV systolic pressure ratio of less than 0.75, which is considered to be satisfactory hemodynamically.

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References

  1. Wang Chengwei: Surgical repair of tetralogy of Fallot (in Chinese), Chinese J. Surg., 17: 96, 1979.

    Google Scholar 

  2. Kirklin JW, et al: Early and late results after intracardiac repair of tetralogy of Fallot; 5 years review of 337 patients. Ann. Surg. 162: 578, 1965.

    Article  PubMed  CAS  Google Scholar 

  3. Zerbini EJ, et al: The surgical treatment of complex of Fallot; late results. J. Thorac. Cardiovasc. Surg. 58: 158, 1969.

    PubMed  CAS  Google Scholar 

  4. Daily PO, et al: Tetralogy of Fallot; choice of surgical procedure. J. Thorac. Cardiovasc. Surg. 75: 338, 1978.

    PubMed  CAS  Google Scholar 

  5. Castaneda AR, et al: Repair of tetralogy of Fallot in infancy, early and late results. J. Thorac. Cardiovasc. Surg. 74: 372, 1977.

    PubMed  CAS  Google Scholar 

  6. Barratt-Boyes BG, et al: Primary repair of tetralogy of Fallot in infancy using profound hypothermia and circulatory arrest and limited cardiopulmonary bypass; a comparison with convential two stage management. Ann. Surg. 178: 406, 1973.

    Article  PubMed  CAS  Google Scholar 

  7. Trimble AS, et al: Total intracardiac repair of the adult cyanotic tetralogy of Fallot; clinical experience and late follow-up. Can. Med. Assoc. J. 103: 911, 1970.

    PubMed  CAS  Google Scholar 

  8. McGoon DC: Intracardiac repair of tetralogy of Fallot, in Kidd BSL and Keith JD (ed): The Natural History and Progress in Treatment of Congenital Heart Disease, p. 96, Thomas, Illinois, 1971.

    Google Scholar 

  9. Kirklin JW: Surgical treatment of the right ventricular tract in tetralogy of Fallot, in Kidd BSL and Keith JD (ed): The Natural History and Progress in Treatment of Congenital Heart Disease, p. 111, Charies Thomas, Illinois, 1971.

    Google Scholar 

  10. Naito Y, et al: The criteria for reconstruction of right ventricular outflow tract in total correction of tetralogy of Fallot. J. Thorac. Cardiovasc. 80: 574, 1980.

    CAS  Google Scholar 

  11. Gerbode F, et al: Complete correction of tetralogy of Fallot; use of the combination of cardiopulmonary bypass and deep hypothermia. Arch. Surg. 82: 793, 1961.

    Article  Google Scholar 

  12. Wang Chengwei: Repair of tetralogy of Fallot with absence of left pulmonary artery, with a valvedi conduit (in Chinese), PLA Medical Jour. 5: 73, 1980.

    Google Scholar 

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© 1986 Science Press, Beijing and Martinus Nijhoff Publishers, Dordrecht

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Zengwei, W., Chengjian, F., Wuyang, Q. (1986). Surgical Treatment of Tetralogy of Fallot in Children and Adolescents. In: Wu, Y., Peters, R.M. (eds) International Practice in Cardiothoracic Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4259-2_57

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  • DOI: https://doi.org/10.1007/978-94-009-4259-2_57

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8391-1

  • Online ISBN: 978-94-009-4259-2

  • eBook Packages: Springer Book Archive

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