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Ann Thorac Surg 1977;23:32-38
© 1977 The Society of Thoracic Surgeons

Articles

Repair of Tetralogy of Fallot after Aortopulmonary Anastomosis

Robert M. Sade, M.D.*, Laurence Sloss, M.D., Salvador Treves, M.D., William F. Bernhard, M.D., Aldo R. Castaneda, M.D.

Departments of Cardiovascular Surgery, Cardiology, and Radiology, The Children's Hospital Medical Center and Harvard Medical School, Boston, MA.

Accepted for publication April 7, 1976.

* Address reprint requests to Dr. Sade, Division of Thoracic and Cardiovascular Surgery, Medical University of South Carolina, 80 Barre St, Charleston, SC 29401.

Thirty-eight corrective operations have been performed in patients with tetralogy of Fallot and a functioning aortopulmonary shunt. There were 3 operative deaths (7.9%) and 1 late death (2.6%), and 3 patients have required reoperation for significant residual defects. Only 1 of 10 patients studied postoperatively by radionuclide scanning has a significant reduction in blood flow to the lung on the side of the closed shunt. We conclude that the presence of an aortopulmonary shunt does not add to the risk of repair in patients with tetralogy of Fallot and that mortality after such operations is related to the complex anatomy often present in patients of this group.




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