title: [Early one-stage repair of tetralogy of Fallot].
abstract: OBJECTIVE
  To evaluate the outcome after early, primary repair of Tetralogy of Fallot (TOF) in children under 6 months of age.
  
  
  METHODS
  74 infants, who underwent repair of TOF between 1992 and 2003, aged from 1.5 to 6 months, were investigated. 32 (43%) patients were cyanotic, 14 (18%) had anoxemic spells. Most of them were qualified for surgical procedure by echocardiographic study only, 26 patients required cardiac catheterisation. Two had balloon angioplasty prior to primary repair. None of them underwent initial palliation. Mean follow-up was 4.9 years (1 -9.5 years).
  
  
  RESULTS
  71 children survived and they were in good condition. 3 patients died (mortality 3.6%). One child required reoperation. Transannular patch (TAP) was inserted in 66% of patients. Right ventricular outflow tract obstruction (RVOTO) more than 40 mmHg occurred in 2 infants. Moderate pulmonary insufficiency was present in 38 infants (25%). None of the patients had QRS complex longer than 140 msec.
  
  
  CONCLUSIONS
  Early one-stage repair of TOF was achieved with low mortality rate and low risk for reoperation (1.5%). It eliminates initial palliation and drug therapy.
authors.affiliation: Klinika Kardiologii, Instytut Centrum Matki Polki, ul. Rzgowska 281-289, 93-338 Łódź, Poland. bpolit@interia.pl
authors.forename: Beata
authors.initials: B
authors.lastname: Politowska
authors.forename: Jadwiga A
authors.initials: JA
authors.lastname: Moll
authors.forename: Paweł
authors.initials: P
authors.lastname: Dryzek
authors.forename: Tomasz
authors.initials: T
authors.lastname: Moszura
authors.forename: Jacek J
authors.initials: JJ
authors.lastname: Moll
authors.forename: Andrzej
authors.initials: A
authors.lastname: Sysa
mesh_terms: D017668:Age of Onset; D006348:Cardiac Surgical Procedures / Q000706:statistics & numerical data*; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007229:Infant Welfare / Q000706:statistics & numerical data; D008297:Male; D011044:Poland; D012189:Retrospective Studies; D016019:Survival Analysis; D013771:Tetralogy of Fallot / Q000150:complications / Q000453:epidemiology* / Q000601:surgery*; D016896:Treatment Outcome