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The Annals of Thoracic Surgery, Vol 43, 634-638, Copyright © 1987 by The Society of Thoracic Surgeons
CF Hughes, YC Lim, TB Cartmill, AF Grant, BD Leckie and DK Baird
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%.
ARTICLES
Total intracardiac repair for tetralogy of Fallot in adults
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