[Prognosis in tetralogy of Fallot].
We review here our results in the management of 314 patients with tetralogy of Fallot. These cases represent 13.5% of the congenital heart defects diagnosed by angiohemodynamic methods in the period 1971-1988. Of the 314 children, 234 were subjected to intracardiac repair. The overall mortality was 25.8%. The surgical mortality rate for the intracardiac repair was above 30% in the period 1972-1979, and decreased to nearly 10% afterwards. The 7-year survival was 70% for the entire cohort, 76.3% for the children subjected to complete correction, and 90% for children operated after 1983. Residual hemodynamic abnormalities and dysrhythmias were uncommon in this series. Our results favour primary repair of the defect in practically all patients.
Cabezuelo Huerta
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Departamento de Pediatría, Hospital Infantil La Fe, Universidad de Valencia.
Frontera Izquierdo
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P
D002648:Child; D006801:Humans; D011379:Prognosis; D013030:Spain / Q000453:epidemiology; D013771:Tetralogy of Fallot / Q000401:mortality*
Pronóstico de la tetralogía de Fallot.