A Clinical Evaluation of Total Correction in 139 Cases of Tetralogy of Fallot.
10.4070/kcj.1979.9.2.83
- Author:
Seung Pyung LIM
;
Hurn CHAE
;
Kyung Phill SUH
- Publication Type:Original Article
- MeSH:
Cause of Death;
Electrocardiography;
Female;
Heart Failure;
Hemorrhage;
Humans;
Hypertrophy, Right Ventricular;
Male;
Mortality;
Postoperative Period;
Pulmonary Valve Stenosis;
Seoul;
Tetralogy of Fallot*;
Thoracic Surgery
- From:Korean Circulation Journal
1979;9(2):83-92
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A total 139 patients with Tetralogy of Fallot underwent total correction in the Department of Thoracic Surgery, Seoul university Hospital during 5 year-period from January 1974 to December 1978, with overall mortality of 16.5 percent. Operative mortality varied according to severity of the lesion, age of the patients, nature of the previous surgical treatment and presence or absence of an outflow tract across the pulmonic valve ring. Twenty-two patients died in the early postoperative period, one in the postoperative 15 th day and 116 patients were discharged from the hospital alive. There were 90 male patients and 49 female patients with male preponderance. And the age of the patients varied from 2.8 years to 31 years with average of 11.1 years. A patch of the right ventricular outflow tract and pulmonic annulus was required to relieve pulmonic stenosis in 104 patients. There were 20 deaths in group(19.2%) as compared to 3 deaths in the group of 35 patients who were treated without a patch. The electrocardiogram showed right ventricular hypertrophy in 101 cyanotic patients. The interventricular conduction was normal in 112 patients preoperatively. It was normal postoperatively in 22 among 112 patients in these group who were survived. Complete RBBB appeared at operation in 70 patients and 20 patients developed incomplete RBBB. Major causes of death were complete A-V block, Congestive Heart Failure and Bleeding in order.
