Analiza przyczyn i rodzaju wtórnych zabiegów interwencyjnych po całkowitej korekcji zespołu Fallota u dzieci. Obserwacje wczesne i średnioodległe
Year: 2001
Type: article
Study design: Observational Study
Abstract: Reason and type of reintervention procedures after total repair of tetralogy of Fallot in childhood. Early and intermediate-term observationsThe aim of the study: The aim of the study was to evaluate reasons, type and frequency of reintervention during early and intermediate time after total correction of tetralogy of Fallot (TOF) in children. Material and methods:The study group consisted of 230 children (137 M and 93 F, ages 53.5 ± 41.4 months, range 2-202; 62 when 24 months of age or younger, 93 within 25-60 months, and 75 older than 60 months of age) who underwent total repair of TOF between 01.01.1990 and 12.31.2000.Ten patients (pts) died (4.3%), mostly (75%) during early (mean 0.42 ± 0.4 month) postoperative period.The remaining pts have been followed up from 1 to 125 months (mean 45.7 ± 35.8).Reasons, type and results of reintervention procedures were evaluated in relation to age of children at primary repair.Results: There were 21 pts (9.1%) who required reintervention (12.9% of the youngest pts, 7.5% and 8% of pts in the remaining age groups) performed from 0.03 to 76 months (mean 21 ± 21.8) after primary repair.Eighteen pts underwent reoperation (because of residual ventricular septal defects in 10, severe right ventricular outflow tract obstruction in 7, main pulmonary artery aneurysm in 2, peripheral pulmonary artery stenosis in 3, severe tricuspid regurgitation in 1, and large collateral arteries in 1).Four pts underwent balloon pulmonary valvuloplasty, with satisfactory results in 3.There was one late death in the reoperation group (4.76%) because of infection, right pulmonary branch restenosis and right heart failure.Conclusions: Reintervention procedures in children after total correction of TOF during early to intermediate postoperative period are rare and associated with a low mortality rate and good results.(Folia Cardiol.2001; 8: 575-580) postoperative complications, tetralogy of Fallot -reoperation, treatment -outcome
Language: Polish
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2610716178