COMPLETE REPAIR FOR TETRALOGY OF FALLOT IN CHILDREN: SHORT-TERM OUTCOME IN A SINGLE CENTER

  • Khanh Van Le Thanh Department of Pediatric Cardiovascular Surgery, Cardiovascular Center, Cho Ray hospital, Ho Chi Minh city, Vietnam
  • Ngoc Vi Hoang Department of Pediatric Cardiovascular Surgery, Cardiovascular Center, Cho Ray hospital, Ho Chi Minh city, Vietnam
  • Van Phung Doan Department of Pediatric Cardiovascular Surgery, Cardiovascular Center, Cho Ray hospital, Ho Chi Minh city, Vietnam
  • Quoc Thang Bui Department of Pediatric Cardiovascular Surgery, Cardiovascular Center, Cho Ray hospital, Ho Chi Minh city, Vietnam
Keywords: complete repair for tetralogy of Fallot, mortality rate, short-term surgical outcome

Abstract

Tetralogy of Fallot is a common cyanotic congenital heart disease. Early surgery treatment gives patients a chance to have normal physical and mental health due to preventing complications of cyanosis and even death as a natural history of tetralogy of Fallot. This study aimed to show short-term outcomes (including the time of postoperative hospital stay and 30 days after discharge) of tetralogy of Fallot complete repair at the Department of Pediatric Cardiac Surgery, Cho Ray Hospital. A retrospective study was performed on the data
of medical documents of 38 patients, who underwent complete repair for tetralogy of Fallot with full sternotomy and cardiopulmonary bypass from March 2017 to December 2019, following a collection form. The results showed the average age and weight were 33.89±13.02 months and 11.77±2.48 kg. The cardiopulmonary bypass time was 147.74±12.48 mins, the aortic cross-clamp time 104.84±9.73 mins, the mechanical ventilation time 31.14±10.75 hours, the duration of stay in the intensive care unit 58.03±13.56 hours, the postoperative hospital stay time 10.12±1.5 days, and the mortality rate 2.6%. The study concludes that the short-term
surgical outcome of complete repair for tetralogy of Fallot in lightweight children is safe and effective with a low mortality rate.

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References

[1] Jacobs ML, Jacobs JP. The early history of surgery
for patients with tetralogy of Fallot. Cardiology in
The Young. 2008;18(S3): 8–11.
[2] Van der Ven JPG, Van den Bosch E, Bogers A,
Helbing WA. Current outcomes and treatment of
tetralogy of Fallot. F1000Research. 2019;8(F1000
Faculty Rev):1530 Available from: DOI:
10.12688/f1000research.17174.1.
[3] BBailey J, Elci OU, Mascio CE, Mercer-Rosa L,
Goldmuntz E. Staged versus complete repair in the
symptomatic neonate with tetralogy of Fallot. The
Annals of Thoracic Surgery. 2020;109(3): 802–808.
[4] Park CS, Lee JR, Lim HG, Kim WH, Kim YJ. The
long-term result of complete repair for tetralogy of
Fallot. European Journal of Cardio-thoracic Surgery.
2010;38(3): 311–317.
[5] Wilder TJ, Van Arsdell GS, Benson L, PhamHung E,
Gritti M, Page A, et al. Young infants with severe
tetralogy of Fallot: Early primary surgery versus
transcatheter palliation. The Journal of Thoracic and
Cardiovascular Surgery. 2017;154(5): 1692–1700.
[6] Quandt D, Ramchandani B, Stickley J, Mehta C,
Bhole V, Barron DJ, et al. Stenting of the right ventricular outflow tract promotes better pulmonary arterial growth compared with modified Blalock-Taussig
shunt palliation in tetralogy of Fallot-Type lesions.
JACC: Cardiovascular Interventions. 2017;10(17):
1774–1784.
[7] Bentham JR, Zava NK, Harrison WJ, Shauq A,
Kalantre A, Derrick G, et al. Duct stenting versus
modified Blalock-Taussig shunt in neonates with ductdependent pulmonary blood flow: Associations with
clinical outcomes in a multicenter national study.
Circulation. 2018;137(6): 581–588.
[8] Younis Memon MK, Akhtar S, Mohsin M, Ahmad W,
Arshad A, Ahmed MA. Short and midterm outcome
of Fallot’s tetralogy repair in infancy: A single center
experience in a developing country. Journal of Ayub
Medical College Abbottabad. 2019;31(3): 383–387.
[9] Dyamenahalli U, McCrindle BW, Barker GA,
Williams WG, Freedom RM, Bohn DJ. Influence of
perioperative factors on outcomes in children younger
than 18 months after repair of tetralogy of Fallot. The
Annals of Thoracic Surgery. 2000;69(4): 1236–1242.
[10] Singh NM, Loomba RS, Gudausky TM, Mitchell ME.
Monocusp valve placement in children with tetralogy
of Fallot undergoing repair with transannular patch:
A functioning pulmonary valve does not improve
immediate postsurgical outcomes. Congenital Heart
Disease. 2018;13(6): 935–943.
[11] Chittithavorn V, Rergkliang C, Chetpaophan A, Vasinanukorn P, Sopontammarak S, Promphan W. Predicted outcome after repair of tetralogy of Fallot by
postoperative pressure ratio between right and left
ventricle. Journal-Medical Association of Thailand. 2006;89(1): 43–50.
[12] Cullen S, Shore D, Redington A. Characterization
of right ventricular diastolic performance after complete repair of tetralogy of Fallot: restrictive physiology predicts slow postoperative recovery. Circulation.
1995;91(6): 1782–1789.
Published
24-September-2022
How to Cite
1.
Le Thanh KV, Hoang NV, Doan VP, Bui QT. COMPLETE REPAIR FOR TETRALOGY OF FALLOT IN CHILDREN: SHORT-TERM OUTCOME IN A SINGLE CENTER. journal [Internet]. 24Sep.2022 [cited 26Dec.2024];12(48):42-6. Available from: https://journal.tvu.edu.vn/tvujs_old/index.php/journal/article/view/1110