View : 39 Download: 7

Outcome of adults with repaired Tetralogy of Fallot

Title
Outcome of adults with repaired Tetralogy of Fallot
Authors
Sohn S.Lee Y.T.
Ewha Authors
손세정
SCOPUS Author ID
손세정scopus
Issue Date
2000
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934JCR Link
Citation
vol. 15, no. 1, pp. 37 - 43
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
Outcome of adult patients with repaired tetralogy of Fallot (TOF) was studied with emphasis on postrepair problems. A retrospective review of clinical, echocardiographic, catheterization, and surgical data was performed for 48 patients who underwent corrective repair of TOF after 15 years of age. All patients survived total repair and have been followed up from 3 months to 11 years (median 4.6 years). Postoperatively, 81.3% of patients were in functional class I and 85.4% had normal right ventricular function. One patient (2.1%) died during follow-up. There were 6 reoperations (12.5%) in 5 patients. The indications for reoperation included residual ventricular septal defect (VSD) (n = 1), right ventricular outflow obstruction with VSD (n = 4), and pulmonary regurgitation (n = 1). The 10-year actuarial survival rate was 97.1%, and the 10-year freedom from reoperation was 81.3%. Aortic regurgitation was seen preoperatively in 6 patients (12.5%) and there were 2 newly developed aortic regurgitations after operation, one of which was caused by infective endocarditis. Corrective repair of TOF can be recommended in this patient group since the survival rate, postrepair functional status and hemodynamics are acceptable. Continued close follow-up, however, is essential for early identification and correction of post-repair problems. Copyright © The Korean Academy of Medical Sciences.
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
Outcome of adults with repaired Tetralogy of Fallot.pdf(841.56 kB)Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE