| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1990;50:179-185
© 1990 The Society of Thoracic Surgeons
Divisions of Cardiac Surgery, Pediatric Cardiology, and Internal Medicine, The Johns Hopkins School of Medicine, Baltimore, Maryland USA
* Address reprint requests to Dr Gardner, The Johns Hopkins Hospital, 600 N Wolfe St, Blalock 618, Baltimore, MD 21205.
Between 1958 and 1977, 170 children aged 10 years or less underwent total repair of tetralogy of Fallot at The Johns Hopkins Hospital. Follow-up data were obtained on 128 (90%) of the 143 who survived the operation at 10 to 28 years postoperatively (mean follow-up, 18 years). All patients completed an extensive questionnaire, and 59 returned for a thorough evaluation consisting of a history and physical examination, electrocardiogram, 24-hour Holter monitoring, exercise stress testing, pulmonary function testing, and two-dimensional and Doppler echocardiography. Late survival was excellent with only two of four known late deaths due to cardiac-related causes and with all 59 patients in New York Heart Association class I or II. None had cyanosis or clubbing. Normal sinus rhythm was present in 90%. One patient had complete heart block, and 75% had right bundlebranch block on the electrocardiogram. Right ventricular function was normal by echocardiography in 78%. Residual mild to moderate pulmonary stenosis was noted by Doppler study in 8 patients. Pulmonary regurgitation was present in 78%, but in only 11 patients was it graded as moderate and in none was it severe. Stress testing documented the excellent functional status of most patients, with 92% of predicted exercise time and 94% of maximum heart rate being attained. In the few who had impaired cardiac performance, this correlated best with moderate pulmonary regurgitation. Although the overall late functional status of patients undergoing repair in the first decade of life was very good, these patients need continued follow-up to assess the severity of pulmonary regurgitation and the need of possible intervention.
This article has been cited by other articles:
|
|
 |
|
  S.-N. Chiu, J.-K. Wang, H.-C. Chen, M.-T. Lin, E.-T. Wu, C.-A. Chen, S.-C. Huang, C.-I. Chang, Y.-S. Chen, I.-S. Chiu, et al. Long-Term Survival and Unnatural Deaths of Patients With Repaired Tetralogy of Fallot in an Asian Cohort Circ Cardiovasc Qual Outcomes, January 1, 2012; 5(1): 120 - 125. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Srinivasan, R. Sachdeva, W. R. Morrow, S. B. Greenberg, and H. V. Vyas Limitations of Standard Echocardiographic Methods for Quantification of Right Ventricular Size and Function in Children and Young Adults J. Ultrasound Med., April 1, 2011; 30(4): 487 - 493. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. D. Robb, M. A. Harris, M. Minakawa, E. Rodriguez, K. J. Koomalsingh, T. Shuto, D. C. Shin, Y. Dori, A. C. Glatz, J. J. Rome, et al. Melody Valve Implantation Into the Branch Pulmonary Arteries for Treatment of Pulmonary Insufficiency in an Ovine Model of Right Ventricular Outflow Tract Dysfunction Following Tetralogy of Fallot Repair Circ Cardiovasc Interv, February 1, 2011; 4(1): 80 - 87. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. S. Park, J. R. Lee, H.-G. Lim, W.-H. Kim, and Y. J. Kim The long-term result of total repair for tetralogy of Fallot Eur J Cardiothorac Surg, September 1, 2010; 38(3): 311 - 317. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Boni, E. Garcia, L. Galletti, A. Perez, D. Herrera, V. Ramos, S. M. Marianeschi, and J. V. Comas Current strategies in tetralogy of Fallot repair: pulmonary valve sparing and evolution of right ventricle/left ventricle pressures ratio Eur J Cardiothorac Surg, May 1, 2009; 35(5): 885 - 890. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Armillotta, P. Bonhoeffer, G. Dubini, S. Ferragina, F. Migliavacca, G. Sala, and S. Schievano Use of rapid prototyping models in the planning of percutaneous pulmonary valved stent implantation Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, April 1, 2007; 221(4): 407 - 416. [Abstract] [PDF]
|
|
|
|
 |
|
 J. van den Berg, P. A. Wielopolski, F. J. Meijboom, M. Witsenburg, A. J. J. C. Bogers, P. M. T. Pattynama, and W. A. Helbing Diastolic Function in Repaired Tetralogy of Fallot at Rest and during Stress: Assessment with MR Imaging Radiology, April 1, 2007; 243(1): 212 - 219. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Schievano, F. Migliavacca, L. Coats, S. Khambadkone, M. Carminati, N. Wilson, J. E. Deanfield, P. Bonhoeffer, and A. M. Taylor Percutaneous Pulmonary Valve Implantation Based on Rapid Prototyping of Right Ventricular Outflow Tract and Pulmonary Trunk from MR Data Radiology, February 1, 2007; 242(2): 490 - 497. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. D. Stewart, C. L. Backer, L. Young, and C. Mavroudis Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy Ann. Thorac. Surg., October 1, 2005; 80(4): 1431 - 1439. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. Nieminen, H. Sairanen, T. Tikanoja, M. Leskinen, H. Ekblad, P. Galambosi, and E. Jokinen Long-Term Results of Pediatric Cardiac Surgery in Finland: Education, Employment, Marital Status, and Parenthood Pediatrics, December 1, 2003; 112(6): 1345 - 1350. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. M. Dubin, J. A. Feinstein, V. M. Reddy, F. L. Hanley, G. F. Van Hare, and D. N. Rosenthal Electrical Resynchronization: A Novel Therapy for the Failing Right Ventricle Circulation, May 13, 2003; 107(18): 2287 - 2289. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Ghai, C. Silversides, L. Harris, G. D. Webb, S. C. Siu, and J. Therrien Left ventricular dysfunction is a risk factor for sudden cardiac death in adults late after repair of tetralogy of fallot J. Am. Coll. Cardiol., November 6, 2002; 40(9): 1675 - 1680. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. W. Vliegen, A. van Straten, A. de Roos, A. A.W. Roest, P. H. Schoof, A. H. Zwinderman, J. Ottenkamp, E. E. van der Wall, and M. G. Hazekamp Magnetic Resonance Imaging to Assess the Hemodynamic Effects of Pulmonary Valve Replacement in Adults Late After Repair of Tetralogy of Fallot Circulation, September 24, 2002; 106(13): 1703 - 1707. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. T.H. de Ruijter, I. Weenink, F. J. Hitchcock, E. J. Meijboom, and G. B.W.E. Bennink Right ventricular dysfunction and pulmonary valve replacement after correction of tetralogy of fallot Ann. Thorac. Surg., June 1, 2002; 73(6): 1794 - 1800. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. A. Bacha, A. M. Scheule, D. Zurakowski, L. C. Erickson, J. Hung, P. Lang, J. E. Mayer Jr, P. J. del Nido, and R. A. Jonas Long-term results after early primary repair of tetralogy of Fallot J. Thorac. Cardiovasc. Surg., July 1, 2001; 122(1): 154 - 161. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. G. Hazekamp, M. M. J. Kurvers, P. H. Schoof, H. W. Vliegen, B. M. Mulder, A. A. W. Roest, J. Ottenkamp, and R. A. E. Dion Pulmonary valve insertion late after repair of Fallot's tetralogy Eur J Cardiothorac Surg, May 1, 2001; 19(5): 667 - 670. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Kalra, R. Sharma, S. K. Choudhary, B. Airan, A. Bhan, A. Saxena, S. S. Kothari, and P. Venugopal Right ventricular outflow tract after non-conduit repair of tetralogy of Fallot with coronary anomaly Ann. Thorac. Surg., September 1, 2000; 70(3): 723 - 726. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Pozzi, D. B. Trivedi, D. Kitchiner, and R. A. Arnold Tetralogy of Fallot: what operation, at which age Eur J Cardiothorac Surg, June 1, 2000; 17(6): 631 - 636. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Caspi, E. Zalstein, N. Zucker, A. Applebaum, L. H. Harrison Jr, N. A. Munfakh, H. A. Heck Jr, T. B. Ferguson Jr, A. Stopa, M. White, et al. Surgical management of tetralogy of fallot in the first year of life Ann. Thorac. Surg., October 1, 1999; 68(4): 1344 - 1348. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Norgaard, P. Lauridsen, M. Helvind, and G. Pettersson Twenty-to-thirty-seven-year follow-up after repair for Tetralogy of Fallot Eur J Cardiothorac Surg, August 1, 1999; 16(2): 125 - 130. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Q. Wu Indication and Technique of Total Correction of Tetralogy of Fallot in 228 Patients Ann. Thorac. Surg., June 1, 1996; 61(6): 1769 - 1774. [Abstract] [Full Text]
|
|
|
|
|
|
F. Meijboom, A. Szatmari, J. W. Deckers, E. M. W. J. Utens, J. R. T. C. Roelandt, E. Bos, and J. Hess CARDIAC STATUS AND HEALTH-RELATED QUALITY OF LIFE IN THE LONG TERM AFTER SURGICAL REPAIR OF TETRALOGY OF FALLOT IN INFANCY AND CHILDHOOD J. Thorac. Cardiovasc. Surg., October 1, 1995; 110(4): 883 - 891. [Abstract] [Full Text]
|
|
|
|
|
|
V. A. Starnes, G. B. Luciani, D. A. Latter, and M. L. Griffin Current surgical management of tetralogy of fallot Ann. Thorac. Surg., July 1, 1994; 58(1): 211 - 215. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
