Follow-up in Adult after Total Repair of Tetralogy of Fallot.
- Author:
Gi Young JANG
1
;
Sun Young KIM
;
Joo Ryung MOON
;
Joon HUH
;
I Seok KANG
;
Seung Woo PARK
;
Tae Gook JUN
;
Pyo Won PARK
;
Heung Jae LEE
Author Information
1. Department of Pediatrics, Sejong Heart Institute, Puchon, Korea.
- Publication Type:Original Article
- Keywords:
Tetralogy of Fallot;
Adults;
Follow-up
- MeSH:
Adult*;
Aortic Valve;
Arrhythmias, Cardiac;
Cardiomegaly;
Constriction, Pathologic;
Endocarditis;
Follow-Up Studies*;
Heart Defects, Congenital;
Heart Septal Defects, Ventricular;
Heart Ventricles;
Humans;
Mitral Valve Insufficiency;
Protein-Losing Enteropathies;
Pulmonary Artery;
Pulmonary Valve Insufficiency;
Reoperation;
Retrospective Studies;
Tetralogy of Fallot*;
Tricuspid Valve Insufficiency
- From:Journal of the Korean Pediatric Society
2003;46(7):661-667
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was performed to find the chief clinical problems associated with the ages of adult patients of tetralogy of Fallot(TOF) who had undergone total correction. METHODS: Of the 30 patients who were registered at the Grown-Up Congenital Heart Disease (GUCH) Clinic of Samsung Medical Center for TOF, a retrospective investigation was carried out on 28 patients who underwent total correction. RESULTS: Mean age at retrospective study was 30.8(range : 16-53) years old. Age at total correction was 15.8(range : 2-49) years old. Problems after corrective surgery were assessed. They were arrhythmia, pulmonary valve regurgitation, left pulmonary artery stenosis, residual ventricular septal defect, mitral valve regurgitation, tricuspid valve regurgitation, right ventricle outflow tract obstruction, aortic valve regurgitation, infective endocarditis and protein losing enteropathy. After repair of TOF, such arrhythmias as atrial arrhythmia and AV conduction disturbances were observed in some patients. Cardiomegaly was found significantly in the subjects with arrhythmia(P<0.05), and arrhythmia was less observed in patients who underwent surgery at a young age. Eight patients required a reoperation; the main indications were residual ventricular septal defect, right ventricle outflow tract obstruction and peripheral pulmonary artery stenosis. CONCLUSION: The majority of the patients seemed to live normal lives after Tetralogy of Fallot repair. However, as residual anatomic and functional abnormalities exist postoperatively, continued careful follow-up is needed to detect and correct structural and functional abnormalities.
