[Early and late results following total correction of Fallot's tetralogy in childhood].
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.
Beitzke
A
A
Department für Kardiologie, Universitäts-Kinderklinik, Graz.
Rigler
B
B
Jaklitsch
G
G
Suppan
C
C
Stein
J I
JI
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*
Früh- und Spätergebnisse nach Totalkorrektur der Fallotschen Tetralogie im Kindesalter.