Surgical correction of Tetralogy of Fallot.
- Author:
Hong Joo JEON
1
;
Yun Ho HWANG
;
Kwang Hyun JO
Author Information
1. Department of Thoracic and Cadiovascular Surgery,Inje University Pusan Paik Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Tetralogy of Fallot
- MeSH:
Body Surface Area;
Busan;
Constriction;
Humans;
Mortality;
Survivors;
Tetralogy of Fallot*;
Thoracic Surgery
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(8):756-762
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The authors studied factors that affected operative mortality and clinical course by analysis of 98 patients who had underwent total correction of TOF at department of thoracic surgery, Pusan Paik hospital from Sept, 1985 to Aug, 1996 to predict the outcome of operation and improve the result of total correction. MATERIALS AND METHODS: To analyse the factors that affect operative mortality, patients were divided into two groups, non-survivor (group I) and survivor (group II), compared body surface area (BSA), aortic clamping time (ACT), total bypass time (TBT), preoperative PRV/LV, postoperative PRV/LV, operation method between them. These same patients were also divided into two groups, group A (non-survivor or severe complication group) and B (survivor and only mild complication group), comparing the same items. RESULTS: There were statistical differences between group I and II about postoperative PRV/LV as 0.67+/-0.13, 0.46+/-0.15. There were statistical differences between group A and B about postoperative PRV/LV as 0.62+/-0.12, 0.44+/-0.15. Transventricular cases were predominant in group A, transatrial cases in group B (p<0.01). CONCLUSIONS: We suggested that the operative results of TOF were better in cases of lower postoperative PRV/LV and transatrial approach.
