ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Midterm results of total correction surgery in tetralogy of Fallot
Haşim Üstünsoy1, Özerdem Özçalışkan1, Gökhan Gökaslan1, Cem Atik1, Mehmet Kervancıoğlu2, Yavuz Arslanoğlu1, Hayati Deniz1, Senem Koruk3
1Gaziantep Üniversitesi Tıp Fakültesi Kalp ve Damar Cerrahisi Anabilim Dalı, Gaziantep, Türkiye
2Gaziantep Üniversitesi Tıp Fakültesi Pediatrik Kardiyoloji Bilim Dalı, Gaziantep, Türkiye
3Gaziantep Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim Dalı, Gaziantep, Türkiye
DOI : 10.5606/tgkdc.dergisi.2012.143
Background: We aimed to present midterm results of total correction surgery in patients with tetralogy of Fallot (TOF).

Methods: A total of 104 patients with TOF (60 m ales, 4 4 females; mean age 4.1 years; range 1 to 24 years) underwent total correction between January 2006 and August 2011. Right ventricular outflow tract reconstruction was performed by transannular patching in 89 (V-Plasty technique in 10), by muscular resection from only right atriotomy in 12, and by Contegra graft in three patients. Patients were followedup by echocardiography to detect the presence of pulmonary insufficiency, transpulmonary gradient, ventricle functions, and residual ventricular septal defect (VSD). The mean follow-up was 26.4 months (range, 6-62).

Results: Early-term mortality was seen in seven patients, while no late-term mortality was observed. A permanent pacemaker was implanted to two patients with complete atrioventricular (AV) block and one patient with Mobitz type-2 AV block. Repeated echocardiography showed no residual VSD. Of 13 patients with mild pulmonary insufficiency, seven with severe pulmonary insufficiency during the follow-up period underwent off-pump injectable pulmonary valve replacement.

Conclusion: Off-pump injectable pulmonary valve replacement should be considered in patients with postoperative pulmonary insufficiency.

Keywords : Pulmonary insufficiency; tetralogy of Fallot; total correction
Viewed : 12956
Downloaded : 3037