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Ann Thorac Surg 1996;61:1769-1774
© 1996 The Society of Thoracic Surgeons

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Original Article: Cardiovascular

Indication and Technique of Total Correction of Tetralogy of Fallot in 228 Patients

Department of Cardiac Surgery, Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences, Beijing, People's Republic of China

Accepted for publication February 6, 1996.

Background. Several factors, such as old age, high hemoglobin level, pulmonary artery hypoplasia, and diminutive left ventricle, have been identified as high risk factors for operative mortality. This group of patients includes all these factors.

Methods. Between September 1987 and March 1995, I performed total correction of tetralogy of Fallot on 228 unselected consecutive patients at Fu Wai Hospital in Beijing. There were 140 male and 88 female patients.

Results. Only 2 patients died of nonsurgical causes postoperatively. The mortality was 0.9%. The remaining patients recovered uneventfully. The late mortality was 1.8% (4/228).

Conclusions. The results suggested that hypoplastic pulmonary artery and left ventricle were not an absolute contraindication of total correction of tetralogy of Fallot. High hematocrit and old age were also not high risk factors causing death. The key factor was to correct the pathology completely and manage the complications properly.

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Invited Commentary

C. Walton Lillehei
Ann. Thorac. Surg. 1996 61: 1774. [Extract] [Full Text]

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