title: [Early and late results following total correction of Fallot's tetralogy in childhood].
abstract: 127 patients aged 0.9 to 18 years (mean 4.0 +/- 2.6 years) underwent total correction for Fallot's tetralogy from March 1975 to November 1989. 118 survivors (early mortality 7.0%) were reinvestigated between 0.2 and 15.3 years (mean 5.1 +/- 4.1 years) after operation by means of clinical investigation, ECG, X-ray, echocardiography (98%) and by recatheterization (48%). 97% are in NYHA-class I and only 3% are in NYHA-class II. Continuous wave (CW)-Doppler and colour-coded Doppler echocardiography allows good localization and evaluation of residual defects and gradients on CW-Doppler investigation correlate well with those measured at recatheterization. 38% of all patients have an enlarged heart and 95% show intraventricular conduction disturbances on ECG with 18% of bifascicular and 3% of trifascicular block. 2 patients need a permanent pace-maker. 10 patients (8.4%) underwent reoperation for residual lesions. 3 patients died late, 2 of which were due to cardiac causes.
authors.affiliation: Department für Kardiologie, Universitäts-Kinderklinik, Graz.
authors.forename: A
authors.initials: A
authors.lastname: Beitzke
authors.forename: B
authors.initials: B
authors.lastname: Rigler
authors.forename: G
authors.initials: G
authors.lastname: Jaklitsch
authors.forename: C
authors.initials: C
authors.lastname: Suppan
authors.forename: J I
authors.initials: JI
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D001317:Austria; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D004452:Echocardiography / Q000379:methods; D005500:Follow-Up Studies; D006334:Heart Function Tests; D006801:Humans; D007223:Infant; D012086:Reoperation; D013771:Tetralogy of Fallot / Q000401:mortality / Q000601:surgery*
vernacular_title: Früh- und Spätergebnisse nach Totalkorrektur der Fallotschen Tetralogie im Kindesalter.