Outcome after one-stage repair of tetralogy of Fallot

C. Lee, C. H. Lee, S. C. Kim, C. Lim, Y. H. Chang, C. H. Kang, Won-Min Jo, Woong Han Kim

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19 Citations (Scopus)

Abstract

Aim. The purpose of this study was to evaluate the outcome after one-stage repair of tetralogy of Fallot (TOF). Methods. Between May 1997 and December 2002, 240 patients with a median age of 9 months (1 month-48 years) underwent one-stage repair of TOF. Closure of ventricular septal defect (VSD) was accomplished through the right atrium in 171 (71.3%) patients and through the right ventricle in 69 (28.7%) patients. For the reconstruction of the right ventricular outflow tract (RVOT), transannular repair was performed in 151 (62.9%) patients, and non-transannular repair was performed in 89 (37.1%) patients. Follow-up was complete, averaging 40±17.6 months (3 months-5.8 years). Results. There were 2 (0.8%) operative deaths. Between early repair group (age under 6 months) and late repair group (age above 6 months), there were no differences in the method of RVOT reconstruction (transannular vs non-transannular) and the need for branch pulmonary artery angioplasty. Early repair group had more transventricular VSD closure than late repair group (46% vs 22%, P<0.05). Duration of inotropic support and intensive care unit (ICU) stay were longer in the early repair group (P<0.05). Five patients required reoperations due to RVOT obstruction (n=3), and residual VSD (n=2). Kaplan-Meier freedom from reoperation at 5 years was 98.3±1%. Nine patients underwent catheter intervention for branch pulmonary artery stenosis. Freedom from reintervention at 5 years was 95.4±1.5%. All survivors are currently asymptomatic. Conclusion. One-stage repair of TOF could be performed with low mortality and morbidity. Especially, early one-stage repair in symptomatic infant could be performed with low risk, eliminating the need for palliative procedures.

Original languageEnglish
Pages (from-to)65-70
Number of pages6
JournalJournal of Cardiovascular Surgery
Volume47
Issue number1
Publication statusPublished - 2006 Feb 1
Externally publishedYes

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Keywords

  • Cardiac surgical procedures
  • Surgery
  • Tetralogy of Fallot

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Lee, C., Lee, C. H., Kim, S. C., Lim, C., Chang, Y. H., Kang, C. H., Jo, W-M., & Kim, W. H. (2006). Outcome after one-stage repair of tetralogy of Fallot. Journal of Cardiovascular Surgery, 47(1), 65-70.