Primary repair of tetralogy of Fallot in infancy

Touati, Gilles; Vouhé, Pascal; Amodeo, Antonio; Pouard, Philippe; Mauriat, Philippe; Leca, F; Neveux, Jean-Yves; Castañeda, Aldo R.

doi:10.1016/s0022-5223(19)36968-5

Cited by 86 publications

(43 citation statements)

References 28 publications

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“…In 1973, Barrat-Boyes and Neutze reported such surgical repair in 18 infants, in 44% of whom a pulmonary trans-annular patch was needed [4] . Subsequently, many investigators advocated a similar approach [5][6][7][8][9][10][11][12] but such early surgical repair frequently involves opening the right ventricular outflow tract. The need for transannular patching has ranged from 36 to 100%, with an estimated mean figure of about 71% (Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…Primary success was obtained in 86% of the patients. Barrat Boyes et al [4] 18 8 44 10 56 1 6 Castaneda et al [5] 39 27 69 12 31 2 5 Kirklin et al [6] 43 24 56 19 44 7 16 Hammon et al [8] 28 19 68 9 32 4 14 Walsh et al* [9] 220 196 89 24 11 17 8 Gustafson et al [10] 10 10 100 --0 0 Touati et al [11] 100 70 70 30 30 3 3 Groh et al [12] 53 19 36 34 64 0 0 Sousa Uva et al [2] 41 23 56 18 44 1 2 Sluysmans et al † [1] 16 5 31 11 69 0 0 *Repair in infants less than 18 months of age (mean 7 months). †Repair after balloon dilatation of the pulmonary valve.…”

Section: Discussionmentioning

confidence: 99%

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Early and late results and the effects on pulmonary arteries of balloon dilatation of the right ventricular outflow tract in tetralogy of Fallot

Godart¹

1998

European Heart Journal

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Early and late results and the effects on pulmonary arteries of balloon dilatation of the right ventricular outflow tract in tetralogy of Fallot

Godart¹

1998

European Heart Journal

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“…Evidence suggests that early repair of congenital heart disease minimizes the secondary damage to the heart and other organ systems. [1][2][3][4][5] This realization, along with significant advances in anesthetic, operative, and postoperative management, has been the stimulus for early primary repair of TOF. However, although early surgical repair has been adopted in many centers, a 2-staged repair (arteriopulmonary shunt with subsequent repair) remains favored by some.…”

mentioning

confidence: 99%

Repair of Tetralogy of Fallot in Neonates and Young Infants

Pigula

Khalil²,

Mayer³

et al. 1999

Circulation

175

136

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Background-The timing of repair of tetralogy of Fallot (TOF) remains controversial. Advantages to early complete repair include removal of right ventricular outflow tract obstruction, alleviation of systemic hypoxia, and avoidance of palliation with an arteriopulmonary shunt. Methods and Results-This is a retrospective review of 99 children with TOF pulmonary stenosis (TOF/PS) or TOF pulmonary atresia (TOF/PA) who were Ͻ90 days of age undergoing early complete repair. Fifty-nine were prostaglandin E dependent, and 91% of neonates were symptomatic at the time of repair. Univariate and multivariate analyses of patient characteristics, anatomic features, and operative management showed the diagnosis of TOF/PA and smaller body surface area to be the only independent risk factors for death. Early mortality was 3% (3 of 99), and actuarial survival rates were 94% at 1 year and 91.6% at 5 years. Freedom from catheterization was 86% at 1 year and 73% at 5 years. Patients repaired for TOF/PA had a significantly lower freedom from reoperation than did those repaired for TOF/PS. Conclusions-Early complete TOF repair can be accomplished with a low mortality. Children with TOF/PA repaired had a lower freedom from reoperation that did those with TOF/PS. Longer follow-up, with emphasis on arrhythmias and right ventricular function, is required to define the long-term benefits of early repair. (Circulation. 1999;100[suppl

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“…These may be cyanotic or acyanotic. Some major issues to be looked into in the peripartum period include evidence of CHF (compensated or uncompensated), pulmonary hypertension, presence of cyanosis and presence of residual ventricular septal defect [15][16][17][18][19][20][21][22][23][24] .…”

Section: Cardiac Diseases Complicating Pregnancymentioning

confidence: 99%

“…Fall in PVR is beneficial. Hence, increasing FiO 2 and respiratory rate helps decrease the shunt fraction [15][16][17][18][19][20][21][22][23][24][25] . Arterial line may be needed.…”

Section: Cyanotic Chdmentioning

confidence: 99%

Pregnancy in cardiac disease: clinical, obstetric and anaesthetic concerns

Jindal

Bajwa

et al. 2012

Sri Lanka J Obstet & Gynae

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In the past patients with cardiac disease were advised against pregnancy. With improved cardiac care and better obstetric as well as anaesthetic facilities, pregnant cardiac patients are on rise. Their management involves joint efforts of cardiologist, obstetrician and anaesthetist. Instead of a specific technique, what underlies a successful anaesthesia in cardiac patients is maintenance of haemodynamic stability and avoiding adverse physiological effects of parturition on maternal pathophysiology. Both regional as well as general anaesthesia provide successful outcomes. Vaginal delivery is preferred over caesarean section.

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Primary repair of tetralogy of Fallot in infancy

Cited by 86 publications

References 28 publications

Early and late results and the effects on pulmonary arteries of balloon dilatation of the right ventricular outflow tract in tetralogy of Fallot

Early and late results and the effects on pulmonary arteries of balloon dilatation of the right ventricular outflow tract in tetralogy of Fallot

Repair of Tetralogy of Fallot in Neonates and Young Infants

Pregnancy in cardiac disease: clinical, obstetric and anaesthetic concerns

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