| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Circulation, Vol 65, 403-410, Copyright © 1982 by American Heart Association
NM Katz, EH Blackstone, JW Kirklin, AD Pacifico and LM Bargeron Jr
The long-term results of 414 patients who underwent repair of tetralogy of
Fallot between 1967 and 1977 were studied and correlated with the results
of others. There were nine late deaths (8-year actuarial survival 95.8%).
Six of the deaths wee directly related to the malformation or its
treatment. Eight patients (2.4%) required reoperation. Ten patients (4.8%)
had arrhythmic symptoms. Eight (3.1%) had congestive heart failure that
required treatment. The risk factors associated with late events of all
types, including death, were: older age at repair, a high mean ratio of
peak systolic right-to-left ventricular pressures (PLV/RV) immediately
after repair, and the presence of a Potts anastomosis. Neither a
transannular patch nor a previous Blalock-Taussig or Waterson anastomosis
was an incremental risk factor. Bacterial endocarditis was not observed.
Three hundred seven patients underwent repair primarily or after a single
Blalock- Taussig or Waterston shunt and had a PRV/LV of 0.85 or less after
repair. Among these selected patients, the actuarial survival was 98.1%,
which is still lower than that for the general population (p = 0.12), and
freedom from events was 95.9%. Late after repair, PRV/LV was lower by 6 +/-
28% (+/- SD) than PRV/LV immediately after repair (p = 0.03) in the 33
restudied patients with such data. The higher the PRV/LV immediately after
repair, the greater the percent reduction.
ARTICLES
Late survival and symptoms after repair of tetralogy of Fallot
This article has been cited by other articles:
 |
|
 |
|
  I. Voges, J. Scheewe, H.-H. Kramer, and A. Uebing Reply to Kestelli et al. Eur. J. Cardiothorac. Surg., June 1, 2009; 35(6): 1113 - 1113. [Full Text] [PDF]
|
|
|
|
 |
|
 K. K. Witte, C. B. Pepper, J. C. Cowan, J. D. Thomson, K. M. English, and M. E. Blackburn Implantable cardioverter-defibrillator therapy in adult patients with tetralogy of Fallot Europace, August 1, 2008; 10(8): 926 - 930. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. J. Meijboom, J. W. Roos-Hesselink, J. S. McGhie, S. E.C. Spitaels, R. T. van Domburg, L. M.W.J. Utens, M. L. Simoons, and A. J.J.C. Bogers Consequences of a selective approach toward pulmonary valve replacement in adult patients with tetralogy of Fallot and pulmonary regurgitation J. Thorac. Cardiovasc. Surg., January 1, 2008; 135(1): 50 - 55. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Khairy and A. J. Marelli Clinical Use of Electrocardiography in Adults With Congenital Heart Disease Circulation, December 4, 2007; 116(23): 2734 - 2746. [Full Text] [PDF]
|
|
|
|
 |
|
 R. D. Stewart, C. L. Backer, L. Young, and C. Mavroudis Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy Ann. Thorac. Surg., October 1, 2005; 80(4): 1431 - 1439. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.F. M. Bechtel, P. E. Lange, and H. H. Sievers Optimal Size of a Monocusp Patch for Reconstruction of a Hypoplastic Pulmonary Root: An Experimental Study in Pigs Ann. Thorac. Surg., June 1, 2005; 79(6): 2103 - 2108. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Yin, J. Salazar, L. Nolke, A. Azakie, and T. R Karl Late Pulmonary Valve Implantation after Repair of Tetralogy of Fallot Asian Cardiovasc Thorac Ann, June 1, 2005; 13(2): 139 - 142. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Khairy, M. J. Landzberg, M. A. Gatzoulis, H. Lucron, J. Lambert, F. Marcon, M. E. Alexander, and E. P. Walsh Value of Programmed Ventricular Stimulation After Tetralogy of Fallot Repair: A Multicenter Study Circulation, April 27, 2004; 109(16): 1994 - 2000. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. A. Atik, E. Atik, C. R. da Cunha, L. F. Caneo, R. S. Assad, M. B. Jatene, A. Riso, and M. Barbero-Marcial Long-term results of correction of tetralogy of Fallot in adulthood Eur. J. Cardiothorac. Surg., February 1, 2004; 25(2): 250 - 255. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. D. A. Nollert, S. H. Dabritz, M. Schmoeckel, C. Vicol, and B. Reichart Risk factors for sudden death after repair of tetralogy of Fallot Ann. Thorac. Surg., December 1, 2003; 76(6): 1901 - 1905. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Discigil, J. A. Dearani, F. J. Puga, H. V. Schaff, D. J. Hagler, C. A. Warnes, and G. K. Danielson Late pulmonary valve replacement after repair of tetralogy of Fallot J. Thorac. Cardiovasc. Surg., February 1, 2001; 121(2): 0344 - 351. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Pozzi, D. B. Trivedi, D. Kitchiner, and R. A. Arnold Tetralogy of Fallot: what operation, at which age Eur. J. Cardiothorac. Surg., June 1, 2000; 17(6): 631 - 636. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Results of Total Correction of Tetralogy of Fallot Performed in Adults Ann. Thorac. Surg., June 1, 1996; 61(6): 1870 - 1873. [Full Text]
|
|
|
|
|
|
M. A. Gatzoulis, J. A. Till, J. Somerville, and A. N. Redington Mechanoelectrical Interaction in Tetralogy of Fallot : QRS Prolongation Relates to Right Ventricular Size and Predicts Malignant Ventricular Arrhythmias and Sudden Death Circulation, July 15, 1995; 92(2): 231 - 237. [Abstract] [Full Text]
|
|
|
|
|
|
J. Roos-Hesselink, M. G. Perlroth, J. McGhie, and S. Spitaels Atrial Arrhythmias in Adults After Repair of Tetralogy of Fallot : Correlations With Clinical, Exercise, and Echocardiographic Findings Circulation, April 15, 1995; 91(8): 2214 - 2219. [Abstract] [Full Text]
|
|
|
|
 |
|
 J. G. Murphy, B. J. Gersh, D. D. Mair, V. Fuster, M. D. McGoon, D. M. Ilstrup, D. C. McGoon, J. W. Kirklin, and G. K. Danielson Long-Term Outcome in Patients Undergoing Surgical Repair of Tetralogy of Fallot N. Engl. J. Med., August 26, 1993; 329(9): 593 - 599. [Abstract] [Full Text]
|
|
|
|
 |
|
 S. S. Karr, J. I. Brenner, C. Loffredo, C. A. Neill, and J. D. Rubin Tetralogy of Fallot: The Spectrum of Severity in a Regional Study, 1981-1985 Arch Pediatr Adolesc Med, January 1, 1992; 146(1): 121 - 124. [Abstract] [PDF]
|
|