[Complete repair of tetralogy of Fallot in infants under the age of 6 months. Apropos of 25 cases].
Between January 1982 and October 1988, 25 infants with Tetralogy of Fallot underwent total correction, total primary repair was carried out in 22 cases; 3 underwent correction after a palliative anastomosis. The average age was 3.7 +/- 1.6 months; the average weight was 5.06 +/- 1.41 kg and average body surface area was 0.30 +/- 0.06 m2. Nineteen patients had a regular anatomic form and 6 had an irregular form of the condition. The hospital mortality was 8% (2 cases): the mortality was nil in the regular anatomic form but 33% in the irregular anatomic forms. Twenty-one patients have been followed up for an average of 50.8 +/- 19.2 months. There were no late deaths; two patients were reoperated for a residual pulmonary stenosis; 19 patients are well and asymptomatic. Doppler echocardiography shows a residual pressure gradient between the right ventricule and pulmonary artery of 17.8 +/- 22.7 mmHg associated with a grade 1-2/4 pulmonary regurgitation. There are no residual ventricular septal defects or cases of atrioventricular block requiring permanent pacing.
Guirgis
N H
NH
Centre chirurgical Marie-Lannelongue, Le Plessis-Robinson.
Losay
J
J
Serraf
A
A
Ouaknine
R
R
Chambran
P
P
Lacour-Gayet
F
F
Bruniaux
J
J
Binet
J P
JP
Planché
C
C
D000206:Actuarial Analysis; D000714:Anastomosis, Surgical / Q000379:methods; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D012086:Reoperation; D015996:Survival Rate; D013771:Tetralogy of Fallot / Q000401:mortality / Q000601:surgery*
Cure complète de la tétralogie de Fallot chez le nourrisson de moins de 6 mois. A propos de 25 observations.