| Long-term results after repair of tetralogy of Fallot. | |
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MedLine Citation:
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PMID: 2256105 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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One hundred sixty-six patients with tetralogy of Fallot including 15 pulmonary atresia repaired since 1971 were analyzed with respect to their physical activities, school or social life, hemodynamics, ECG, reoperation and late mortality. Follow-up period ranged from 1 to 19 years with an average of 9.1. There were 9 late deaths including 4 sudden deaths. Actuarial survival rates at 5 and 13 years were 96.4% and 90.5%, respectively. Eighty-five patients (72.0%) of 118 replied were in NYHA functional class I, 31 (26.3%) in class II and 2 (1.7%) in class III. Thirteen patients (7.8%) demonstrated right ventricular/left ventricular systolic pressure ratio over 0.80 because of inadequate relief of the pulmonary stenosis or obstruction, hypoplasia of the pulmonary artery or external conduit stenosis. Although the left ventricular ejection fraction was maintained at the normal range (0.65 +/- 0.09), that of the right ventricle was below the normal level (0.52 +/- 0.09). Two patients developed complete heart block postoperatively and underwent pacemaker implantations. Complete right bundle branch block was observed in 85 patients including 6 with left axis deviation. Most of the patients after correction of tetralogy of Fallot are in satisfactory conditions. However, some patients have limitations in school or social life because of residual lesions or postoperative complications. It is important to consider the proper operative procedures to avoid these problems. |
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Authors:
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K Haneda; T Togo; K Tabayashi; Y Tsuru; H Mohri |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Tohoku journal of experimental medicine Volume: 161 ISSN: 0040-8727 ISO Abbreviation: Tohoku J. Exp. Med. Publication Date: 1990 Aug |
Date Detail:
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Created Date: 1991-01-22 Completed Date: 1991-01-22 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0417355 Medline TA: Tohoku J Exp Med Country: JAPAN |
Other Details:
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Languages: eng Pagination: 319-27 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arrhythmias, Cardiac / etiology Child Child, Preschool Female Follow-Up Studies Hemodynamics Humans Infant Male Middle Aged Postoperative Complications / etiology Quality of Life Reoperation Tetralogy of Fallot / mortality, physiopathology, surgery* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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