Primary complete repair of tetralogy of fallot in infants and young children: report of 87 cases
- VernacularTitle:87例婴幼儿法乐氏四联症根治术
- Author:
Chun WU
- Publication Type:Journal Article
- Keywords:
Tetralogy of fallot;
Infant,Young children;
Surgical treatment
- From:
Journal of Chongqing Medical University
1986;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the experience of complete repair of tetralogy of Fallot in infants and young children.Method:A retrospective review of one-stage repair of tetralogy of Fallot(TOF)performed in 87 consecutive patients no more than 3 years old was made.Follow-ups were obtained from clinic appointments.The patients were divided into three groups according to age at surgery:group A(30mmHg)in 3 cases,residual VSD in 3 cases,low cardiac output syndrome in 6 patients.There were no late death and reoperation during follow-up period of 1 to 78 months (36?27 months).74(90.2%)patients were in NewYork Heart Association(NYHA)functional class I,and the other 9(10.8%)were in class II.Group A had significantly longer ventilation,ICU stay and inotropic support time than group B and group C.A slight increase in the incidence of PR,RVOTO in group C.Conclusion:Early one-stage repair of TOF in patients in infants and young children has a low operative mortality and can provide excellent asymptomatic mid-term survival,and the optimal age for elective repair of TOF is 3 to 12 months of age.
