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Ann Thorac Surg 1987;43:634-638
© 1987 The Society of Thoracic Surgeons

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Articles

Total Intracardiac Repair for Tetralogy of Fallot in Adults

From the Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia

Accepted for publication September 30, 1986.

^* Address reprint requests to Dr. Hughes, Cardiothoracic Surgical Unit, Royal Prince Alfred Hospital, Missenden Rd, Camperdown, 2050, NSW, Australia

The anatomic and clinical features of 47 patients who were 18 years of age or older at the time of total intracardiac repair for tetralogy of Fallot are reviewed. Twenty (43%) patients had had previous palliative surgery. Of 14 pulmonary-systemic shunts, 9 (64%) remained patent. The location of the ventricular septal defect was infracristal in 90% of patients. The predominant right ventricular outflow tract obstruction was at the infundibulum in 30%; another 64% of patients had combined valvular and infundibular obstruction.

Total intracardiac repair was achieved; hospital mortality was 8.5%. Morbidity was minor, and hemorrhage was a significant problem in only 2 patients. Thirty-five patients have been followed from 11 months to 15 years after surgery. There were 4 late deaths; the actuarial 10-year survival rate was 82%.

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