Browse > Article

Detinitive Repair of Tetralogy of Fallot in Infancy - Transventricular approach -  

이정렬 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실, 서울대학교병원 임상의학연구소, 이종장기연구개발센터)
김준성 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실, 서울대학교병원 임상의학연구소, 이종장기연구개발센터)
김용진 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실, 서울대학교병원 임상의학연구소, 이종장기연구개발센터)
노준량 (서울대학교 어린이병원 흉부외과, 서울대학교 의과대학 흉부외과학교실, 서울대학교병원 임상의학연구소, 이종장기연구개발센터)
배은정 (서울대학교 어린이병원 소아과, 서울대학교 의과대학 소아과학교실)
노정일 (서울대학교 어린이병원 소아과, 서울대학교 의과대학 소아과학교실)
윤용수 (서울대학교 어린이병원 소아과, 서울대학교 의과대학 소아과학교실)
안규리 (서울대학교병원 내과)
Publication Information
Journal of Chest Surgery / v.37, no.2, 2004 , pp. 139-145 More about this Journal
Abstract
This study describes our surgical results of transventricular complete repair of tetralogy of Fallot in infants. Material and Method: Eight hundred and forty children underwent complete repair of TOF between January 1990 and April 2002 in our institute. One hundred sixty infants of them were included to this survey. Mean age at repair was 8.1$\pm$2.6 months (3∼12). Correction was accomplished through a short right ventriculotomy less than 30% of ventricular height in all patients. A transannular patch was necessary in 78 patients (49%). Result: There were four early deaths. There were no late deaths. Follow-up with mean duration of 66 months was completed in all survivors, All patients are currently in New York Heart Association functional class I or II. Twenty patients required late reoperations. Actuarial freedom from reoperation at 1 and 10 years were 94% and 87% respectively. Two-dimensional and Doppler echocardiographic follow-up studies showed good right ventricular function in all patients except three. Conclusion: Our results suggested that early complete repair of TOF yield the acceptable results with low mortality and morbidity. Transventricular repair of intracardiac pathology can be safely applied to these patient population, yielding good postoperative right ventricular function.
Keywords
Tetralogy of fallot; Infancy; Transventricular;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Late results in patients with tetralogy of Fallot repaired during infancy /
[ Walsh EP;RockenmacherS;Keane JF, et al. ] / Circulation   DOI   ScienceOn
2 Early primary repair of tetralogy of Fallot /
[ Gustafson RA;Murray GF;Warden HE, et al. ] / Ann Thorac Surg   DOI   ScienceOn
3 Surgical management of tetralogy of Fallot in the first year of life /
[ Caspi J;Zalstein E;Zucker N, et al. ] / Ann Thorac Surg   DOI   ScienceOn
4 Composite pericordial monocusp patch for the reconstruction of right ventricular outflow tract /
[ Revuelta JM;Ubago JL;Duran CM ] / Thorac Cardiovasc Surg   DOI   ScienceOn
5 Direct vision intracardiac surgical correction of the tetralogy of Fallot pentalogy of Fallotand pulmonary atresia defects. Report of first ten cases /
[ Lillehei CW;Cohen M;Warden HE, et al. ] / Ann Thorac Surg
6 Life threateningarrhthymias and RV dysfunction after surgical repair of tetralogy of Fallot. Comparison between transventricular and transatrial approaches /
[ Dietl CA;Cazzaniga ME;Dubuer SJ, et al. Ⅱ ] / Circulation
7 Fate of the pericardial monocusp pulmonary valve for right ventricular outflow tract reconstruction: Early function, late failure without obstruction /
[ Gundry SR;Razzouk AJ;Boskined JF, et al. ] / J Thorac Cardiovasc Surg
8 Early primary correction of tetralogy of Fallot /
[ Kirklin JW;Blackstone EH;Colvin EV, et al. ] / Ann Thorac Surg   DOI   ScienceOn
9 Short-term hemodynamic results after right ventricular outflow tract reconstruction using a cusp-bearing transannular patch /
[ Sievers HH;Storde U;Rohwedder EB, et al. ] / J Thorac Cardiovasc Surg
10 An experimental study on transannular patching of the right ventricular outflow tract with and without a pulmonary valve monocusp mechanism /
[ Egloff L;Turina M;Senning A ] / Thorac Cardiovasc Surg   DOI   ScienceOn
11 Surgery fortetralogy of Fallot at less than six months of age /
[ Uva MS;Lacour-Gayer F;Komiya T, et al. ] / J Thorac Cardiovasc Surg
12 Repair of tetralogy of Fallot in infancy /
[ Castaneda AR;Freed MD;Williams RG, et al. ] / J Thorac Cardiovasc Surg
13 Short-term effect of monocuspid valves on pulmonary insufficiency and clinical outcome after surgical repair of tetralogy of Fallot /
[ Bigras JL;Boutin C;McCrindle BW, et al. ] / J Thorac Cardiovasc Surg   DOI   ScienceOn
14 Intermediate results after complete repair of tetralogy of Fallot in neonates /
[ Hennein HA;Mosca RS;Urcelay G, et al. ] / J Thorac Cardiovasc Surg
15 Transatrial-transpulmonary repair of tetralogy of Fallot /
[ Pacifico AD;Sand ME;Bargeron LM;Colvin EC ] / J Thorac Cardiovasc Surg
16 Routine primary repair of tetralogy of Fallot in neonates and infants less than three months of age /
[ Reddy VM;Liddicoat JR;McElhinney DB, et al. ] / Ann Thorac Surg   DOI   ScienceOn