[Late results of surgical repairs of tetralogy of Fallot].
The late results of 115 children with tetralogy of Fallot born and corrected between 1969 and 1988 are analyzed; the patients were distributed into 3 anatomical groups: normal pulmonary annulus (group A, 49 patients) annular stenosis (group B, 56 patients) and pulmonary atresia (group C, 10 patients). The probability of survival 15 years after correction is 97 p. 100 in cumulated groups A and B and 72 p. 100 in group C (p = 0.005). The probability of reoperation ten years after correction is 4 p. 100 in cumulated groups A and B without a previous shunt, 20 p. 100 in A and B with a previous shunt (p less than 0.05) and 55 p. 100 in group C (p = 0.0004). The proportion of serious cardiac sequellae amounts to 17 p. 100 in group A, 55 p. 100 in group B and 100 p. 100 in group C (p = 0.0005). As a whole, 55 p. 100 of the adolescents operated on for tetralogy of Fallot during infancy present a residual problem of some severity.
Viart
P
P
Unité médico-chirurgicale de cardiologie, hôpital universitaire des Enfants Reine Fabiola, Bruxelles, Belgique.
Deuvaert
F
F
Gallez
A
A
Primo
G
G
Dramaix
M
M
D000206:Actuarial Analysis; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications; D011336:Probability; D011664:Pulmonary Valve / Q000002:abnormalities* / Q000601:surgery; D011665:Pulmonary Valve Insufficiency / Q000209:etiology; D011666:Pulmonary Valve Stenosis / Q000601:surgery; D012086:Reoperation; D013771:Tetralogy of Fallot / Q000401:mortality / Q000601:surgery*
Résultats tardifs des cures de tétralogie de Fallot.