tratamento cirúrgico da tetralogía de fallot no adulto surgical treatment of tetralogy of fallot in the adult
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ID: 223812
1991
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Abstract
Vinte e nove pacientes com tetralogía de Fallot, cujas Idades variaram de 16 a 43 anos (média: 21 anos), foram submetidos à correção total. Somente dois (6,8%) tinham uma operação de Blalock-Taussig prévia. A técnica clássica de correção intracardíaca foi usada em todos os casos. Em 13,7% (4 casos) dos pacientes foi necessário reconstruir a via de saída do ventrículo direito. Houve quatro (13,75) óbitos operatórios. Todas as mortes ocorreram no início da experiência (1967-1977), quando oxigenadores descartáveis e proteção miocárdica não foram usados. O seguimento dos sobreviventes foi de 1.560 pacientesmeses (média: 62 meses). Houve uma morte tardia de causa não cardíaca. Exceto em dois doentes, a evolução clínica foi boa. Dois pacientes foram reoperados com sucesso para correção de defeitos residuais, 11 anos e seis meses, respectivamente, após a operação inicial. Acredita-se que a idade avançada não é contra-indicação para correção total da tetralogía de Fallot, sobretudo porque os portadores desta anomalia que sobrevivem à idade adulta, geralmente apresentam anatomia favorável.
Twenty-nine cyanotic patients with tetralogy of Fallot ranging in age from 16 to 43 years (mean, 21 yrs) have undergone total correction. Only two (6.8%) patients had previous Blalock-Taussig shunt. The established intracardiac technique for total repair was used throughout. In four (13.75) patients, reconstruction of the pulmonary outflow tract was required. The hospital mortality was 13.7% (4 of 29 patients). All deaths occurred in the beginning of the experience (1967-1977), when disposable oxygenators and myocardial protection were not used. The follow-up for the surviving patients was 1560 patient-months (mean, 62 months). There was one late death, not cardiac related. All but two survivors had good clinical results. These two patients were successfully reoperated for correction of residual defects at six months and 11 years after the initial procedure, respectively. We believe that advanced age is not a contraindication for total repair of tetralogy of Fallot since patients with this anomaly surviving to adulthood usually show favourable morphology.
Twenty-nine cyanotic patients with tetralogy of Fallot ranging in age from 16 to 43 years (mean, 21 yrs) have undergone total correction. Only two (6.8%) patients had previous Blalock-Taussig shunt. The established intracardiac technique for total repair was used throughout. In four (13.75) patients, reconstruction of the pulmonary outflow tract was required. The hospital mortality was 13.7% (4 of 29 patients). All deaths occurred in the beginning of the experience (1967-1977), when disposable oxygenators and myocardial protection were not used. The follow-up for the surviving patients was 1560 patient-months (mean, 62 months). There was one late death, not cardiac related. All but two survivors had good clinical results. These two patients were successfully reoperated for correction of residual defects at six months and 11 years after the initial procedure, respectively. We believe that advanced age is not a contraindication for total repair of tetralogy of Fallot since patients with this anomaly surviving to adulthood usually show favourable morphology.
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| Authors | ;Carlos R Moraes;Jorge V Rodrigues;Cláudio A Gomes;Euclides A Tenório;Fernando Moraes Neto;Cleusa L Santos;Sandra S Mattos;Ivan L Cavalcanti |
| Journal | 2017 international conference on information technology systems and innovation, icitsi 2017 - proceedings |
| Year | 1991 |
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| Keywords | Keywords not found |
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