A Clinical Study of Tetralogy of Fallot.
10.4070/kcj.1990.20.4.768
- Author:
Seon Hee JEONG
;
Jong Moon WHANG
;
Joon Sik KIM
;
Tae Chan KWON
;
Chin Moo KANG
- Publication Type:Original Article
- Keywords:
Tetralogy of fallot
- MeSH:
Angiography;
Aorta;
Axis, Cervical Vertebra;
Cardiac Catheterization;
Cardiac Catheters;
Echocardiography;
Electrocardiography;
Female;
Heart Diseases;
Humans;
Hypertrophy, Right Ventricular;
Male;
Mortality;
Polycythemia;
Pulmonary Artery;
Pulmonary Valve Stenosis;
Tetralogy of Fallot*;
Thorax;
Thrombocytopenia
- From:Korean Circulation Journal
1990;20(4):768-775
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The clinicolaboratory findings, cardiac catheterization, and outcome of operation were analyzed in 78 patients with tetralogy of Fallot, which were diagnosed by echocardiography, cardiac catheterization, and a cardiac angiography and confirmed by operation at Dong San Hospital, Keimyung University, during a 4(1/2)-year period from January 1984 to June 1988. The following results were obtained : 1) Out of the 78 cases, 45 were male and 64 were female. 2) The electrocardiogram showed right axis deviation in 71 cases(91%) and right ventricular hypertrophy in 66 cases(84.6%). 3) Chest X-ray revealed that, the cardiothoracic ratio was normal or decreased in 68 cases(87.3%), and cardiac apex elevation was noticed in 57 cases(73%). 4) Pulmonary stenosis were chiefly valvular and infundibular type(53.8%). 5) The associated heart diseases with TOF were patent foramen ovale(64.1%), right sided aortic arch(19.2%), and secundum ASD(10.3%), in that order. 6) There was an intimate correlation between secondary polycythemia and thrombocytopenia. 7) Among the 78 Cases, 73 cases had total correction, 1 case had shunt operation, and 4cases had total correction after shunt operation. The highest mortality rate occurred in the cases of total correction after shunt operation(25%). The cases with a main pulmonary artery size of 1/3 to 2/3 against, the aorta had a higher mortality than the other group, and no cases expired in the group with a ratio of more than 2/3. The overall surgical mortality was 8.9%.
