Successful outcome of pregnancy in a 31 years old woman with uncorrected Tetralogy  of Fallot; A case report

Motlagh, F Ghanei; Ghasemi, R; Nazari, Sakineh; Yaghubi, M

doi:10.18869/acadpub.jnkums.8.3.541

Cited by 2 publications

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“…In addition, Cesnjevar et al revealed that the later planning ofthe PV intervention, due to the Tetralogy of Fallot,can decrease the chance of reintervention if the primary defects aresuccessfully corrected. Mean while, the successful management of theTetralogy of Fallot correction was reported in previous studies (2). The ICU stay and the weaning time was dramatically higher in younger patients, compared tothose inothers.…”

Section: Discussionsupporting

confidence: 53%

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Clinical outcomes of pulmonary valve replacement surgery in pediatrics: a single-center experience long-term study

2022

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Introduction: Heart valve disease in pediatricsis an increasing global concern, especially in developing countries. This study aims to determine the clinical outcomes of pulmonary valve replacement (PVR) surgery in pediatrics. Methods: The authors retrospectively identified all pediatrics undergoing PVR surgery at Imam Reza hospital (Mashhad, Iran) between 2000 and 2020. Their medical records were reviewed for demographic characteristics, clinical data (intra-operative and postoperative), and follow-up results. Echocardiography and electrocardiography were performedonall patients before the surgery and periodically after the surgery. Results: Among 50 pediatrics undergoing surgical PVR, 38 (76%) were female and others were male (14%), with a mean age of 10.39±5.31 years. The leading cause of PVR was the Tetralogy of Fallot. There was a significant relationship between age at the time of surgery and the size of the pulmonary valve(P=0.02).There were also statistically significant differences between QTc intervals before and after surgery (P=0.001). Further more, there was a significant correlation between QTc intervals before and after surgery and the ageof pediatrics at the time of surgery (P=0.01, r=-0.6).There was also a statistically significant relationship between the ICU stay (P=0.01) and the weaning time of the mechanical ventilation (P=0.03). Conclusion: It is recommended that this procedure ispostponed as much as possible to decrease postoperative life-threatening events in pediatrics.In addition, if this surgery is conducted with good surgical and nursing management, it can be safe with low complications among other cardiac valve procedures.

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Section: Discussionsupporting

confidence: 53%

“…Despite the increasing life expectancy due to improvements in the diagnosis and treatment of cardiovascular disease, congenital heart defect repair is stilla challengedue to its high morbidity and mortality rates (1)(2).…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of pulmonary valve replacement surgery in pediatrics: a single-center experience long-term study

2022

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The Indispensable Role of Cardiac Catheterization Before Surgical Intervention of Pediatrics Undergoing Tetralogy of Fallot Total Correction; A Single Center Experience

Naghibi Sistani,

Alizadeh,

Birjandi

et al. 2024

Iran J Pediatr

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Background: Inadequate pulmonary blood flow in the tetralogy of Fallot (ToF) can lead to the development of major aortopulmonary collaterals, interfering with surgical repair. Objectives: We aimed to depict the crucial role of cardiac catheterization before the surgical intervention of pediatrics undergoing ToF total correction. Methods: This retrospective cohort study was conducted on consecutive pediatric patients under two years of age who underwent ToF total correction surgery. All of the patients were diagnosed with ToF with doubled times trans-thoracic echocardiography, and the patients with high suspicion of the presence of major aortopulmonary collateral arteries (MAPCAs) underwent cardiac catheterization before ToF total correction surgery. Conversely, if the catheterization approach failed, they underwent ToF total correction surgery simultaneously with MAPCA closure. On the other hand, the patients with no evidence of MAPCA in the echocardiographic findings (as considered undiagnosed patients) underwent ToF total correction surgery. Results: Two hundred fifty eligible pediatrics who underwent ToF total correction surgery participated. The ICU stay (P < 0.001), hospital stay (P < 0.001), and weaning time from mechanical ventilation (P < 0.001) in patients with correct diagnosis before the ToF surgery were statistically lower than misdiagnosed open MAPCA patients who underwent the surgical approach of the ToF group. Some intra-operative and postoperative parameters showed no statistical differences between patients in the two groups. We had three mortality in the patients whose trans-thoracic echocardiography (TTE) findings were undiagnosed as there was no evidence to rely on the presence of open MAPCA. Conclusions: Based on this study's findings, we strongly recommend that all ToF patients undergo cardiopulmonary catheterization before the surgical approach.

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Successful outcome of pregnancy in a 31 years old woman with uncorrected Tetralogy of Fallot; A case report

Cited by 2 publications

References 0 publications

Clinical outcomes of pulmonary valve replacement surgery in pediatrics: a single-center experience long-term study

Clinical outcomes of pulmonary valve replacement surgery in pediatrics: a single-center experience long-term study

The Indispensable Role of Cardiac Catheterization Before Surgical Intervention of Pediatrics Undergoing Tetralogy of Fallot Total Correction; A Single Center Experience

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