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The Annals of Thoracic Surgery, Vol 38, 151-156, Copyright © 1984 by The Society of Thoracic Surgeons
A Rosenthal, D Behrendt, H Sloan, P Ferguson, SM Snedecor and A Schork
One hundred eighty-two patients with tetralogy of Fallot repaired before or
during 1967 were studied by interview, physical examination, and
noninvasive testing. Twenty were excluded from the final analysis because
review of cineangiograms and operative reports disclosed that they had had
double-chambered right ventricle rather than tetralogy of Fallot. On
follow-up ranging from 15 to 26 years (mean, 20.2 years), there were 86
patients in New York Heart Association Functional Class I, 53 in Class II,
5 in Class III, and none in Class IV. There were 9 late deaths. Functional
classification was not ascertained in the remaining 9 patients. Cumulative
survival at 25 years postoperatively was 94.4%. There was no significant
relationship between survival and year of operation, age at operation, sex,
or presence of a prior shunt. The 9 late deaths occurred between 6 and 23
years after operation and were due to late-onset complete heart block in 2
patients, congestive failure in 4, suicide in 1, accident in 1, and an
unknown cause in 1. We conclude that long-term survival after repair of
tetralogy of Fallot is excellent and not influenced by prior shunt.
ARTICLES
Long-term prognosis (15 to 26 years) after repair of tetralogy of Fallot: I. Survival and symptomatic status
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