Direct Vision Intracardiac Surgical Correction of the Tetralogv of Fallot, Pentalogy of Fallot, and Pulmonary Atresia Defects

Cw, Lillehei; Cohen, Morley; He, Warden; Rc, Read; Jb, Aust; Ra, Dewall; Rl, Varco

doi:10.1097/00000658-195509000-00010

Cited by 422 publications

(143 citation statements)

References 3 publications

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“…L illehei et al 1 reported the first total repair of tetralogy of Fallot (TOF) in 1955. With advances in operative techniques and perioperative care, surgical outcomes have greatly improved over the past 2 decades.…”

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confidence: 99%

Long-Term Survival and Unnatural Deaths of Patients With Repaired Tetralogy of Fallot in an Asian Cohort

Chiu

Wang

Chen

et al. 2012

Circ: Cardiovascular Quality and Outcomes

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Background— Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease in Taiwan. This study investigates the long-term survival and risks of TOF in an Asian cohort. Methods and Results— This study enrolled 819 consecutive patients with TOF (61.1% male), who received total correction between 1970 and 2002, as participants. Patient medical records were reviewed, and the survival status of those out of contact was confirmed by death records retrieved from the National Health database. The mean (±SD) patient age at cardiac repair was 6.5±7.6 years, and a prior shunt operation was performed in 119 (14.5%) of the patients. At cardiac repair, a transannular patch for right ventricle outlet reconstruction was required in 444 (54.2%) of the patients. After 13 808 patient-years of follow-up, the 30-year survival rate was 90.5%. The annual mortality rate increased from 0.123% in the initial 15 years after repair to 0.395% thereafter ( P <0.05). The presence of major aortopulmonary collateral arteries, older operative age, and previous shunt operation are independent risks of late cardiac deaths. Secondary to cardiac mortality, unnatural deaths (accident and suicide) accounted for 27.6% of late deaths, significantly higher compared with that of the general population (odds ratio, 2.18; P =0.028). Conclusions— In this Asian TOF cohort, except for a late decrease after 15 years, long-term survival after cardiac repair was satisfactory. Although cardiac death was the most common cause of late death, accidents or suicide may also be associated with late mortality, suggesting a potential role for psychosocial support.

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confidence: 99%

Long-Term Survival and Unnatural Deaths of Patients With Repaired Tetralogy of Fallot in an Asian Cohort

Chiu

Wang

Chen

et al. 2012

Circ: Cardiovascular Quality and Outcomes

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“…1 "Corrective" intracardiac repair has been performed for Ͼ40 years with excellent results. 2,3 Nevertheless, ventricular arrhythmias have consistently been reported, and sudden cardiac death (SCD) is the most common cause of mortality late after repair. 4 -6 Considerable efforts have been directed toward identifying predictors to stratify patients into high-and low-risk categories for these events.…”

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confidence: 99%

Value of Programmed Ventricular Stimulation After Tetralogy of Fallot Repair

et al. 2004

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“…1 The repair, largely unchanged over decades, consists of ventricular septal defect closure and the relief of variable forms of right ventricular (RV) obstruction, usually with a transannular patch (TAP), and usually resulting in free pulmonary insufficiency (PI). Early in the experience with TOF repair, attention was on quantity of life---lifting the early dip in the survival curve.…”

mentioning

confidence: 99%

Fourth Decade After Repair of Tetralogy of Fallot

Bichell

2014

Circulation

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Direct Vision Intracardiac Surgical Correction of the Tetralogv of Fallot, Pentalogy of Fallot, and Pulmonary Atresia Defects

Cited by 422 publications

References 3 publications

Long-Term Survival and Unnatural Deaths of Patients With Repaired Tetralogy of Fallot in an Asian Cohort

Long-Term Survival and Unnatural Deaths of Patients With Repaired Tetralogy of Fallot in an Asian Cohort

Value of Programmed Ventricular Stimulation After Tetralogy of Fallot Repair

Fourth Decade After Repair of Tetralogy of Fallot

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