PMID: 3767482Oct 1, 1986Paper

The first open heart corrections of tetralogy of Fallot. A 26-31 year follow-up of 106 patients

Annals of Surgery
C W LilleheiJ H Moller

Abstract

Tetralogy of Fallot became a correctable malformation on August 31, 1954, and from that data through 1960, 106 patients (ages 4 months-45 years) who underwent open repairs at the University of Minnesota and were discharged, have been followed (99% complete) until death or for 26-31 years (mean: 23.7 years, 2424 patient years). The purposes of this study were to determine survival, morbidity, hemodynamics, educational/employment attainments, and relation of these to surgical technics. Operations were done by cross circulation (6 patients) and bubble oxygenator (100 patients). This group had the first uses of patch ventricular septal defect closure, outflow root, infundibuloplasty, atresia correction, ischemic arrests, and pacemakers among other innovations. Twenty-one (of 105 patients) have died during the followup: eight deaths in the first 10 years, 12 between 10 and 20 years, and 1 greater than 20 years. The causes of death were sudden (5), accidental (4), congestive failure (2), reoperation (2), suicide (2), and other (2). Actuarial survival at 30 years was 77%. Late complications were ten reoperations, five arrhythmias, and one endocarditis. Actuarial freedom from reoperations at 30 years was 91%. Cardiac recatheterizations...Continue Reading

Citations

Mar 7, 2001·The American Journal of Cardiology·D A HarrisonL Harris
Jan 19, 2006·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Karen I NortonJames C Nielsen
Jul 1, 2008·Annals of Pediatric Cardiology·Tom R Karl
Jun 9, 2005·The Journal of Thoracic and Cardiovascular Surgery·Takahiro SawadaAkihiko Sekiguchi
May 12, 2011·Current Cardiology Reports·Ronn E Tanel
Jun 1, 2001·The Annals of Thoracic Surgery·C D FraserD A Cooley
Oct 20, 2012·Pediatric Cardiology·Christian D NagyKathryn W Holmes
May 12, 2010·Cardiology in the Young·Theodor TirilomisWolfgang Ruschewski
Aug 26, 1993·The New England Journal of Medicine·J G MurphyG K Danielson
Apr 9, 2005·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Heikki I SairanenEero V Jokinen
May 26, 2009·The Annals of Thoracic Surgery·Nestoras PapadopoulosAnton Moritz
Apr 28, 2007·The Annals of Thoracic Surgery·Adil SadiqJayakumar Karunakaran
Aug 25, 2009·The Annals of Thoracic Surgery·George DimitrakakisHeyman Luckraz
Feb 9, 2002·The Annals of Thoracic Surgery·Bernard FaiduttiAfksendiyos Kalangos
Nov 13, 2002·Journal of the American College of Cardiology·Akash GhaiJudith Therrien
Apr 30, 1998·Journal of the American College of Cardiology·A M MoranJ F Keane
Nov 14, 1997·Journal of the American College of Cardiology·D A HarrisonW G Williams
Jul 6, 2004·Journal of the American College of Cardiology·Gruschen R VeldtmanCarole A Warnes
Nov 29, 2016·Congenital Heart Disease·Maryanne Caruana, Victor Grech
Jan 23, 2014·Congenital Heart Disease·Sachin TalwarBalram Airan
Jan 26, 2012·Seminars in Cardiothoracic and Vascular Anesthesia·Mark D Twite, Richard J Ing
May 21, 2005·Asian Cardiovascular & Thoracic Annals·Shengli YinTom R Karl
Jan 28, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Makoto NakazawaUNKNOWN Study Group for Arrhythmias Long-Term After Surgery for Congenital Heart Disease: ALTAS-CHD study
Sep 11, 2002·Circulation·Carole A Warnes, John S Child
Oct 21, 2006·Current Opinion in Cardiology·Ju L TanSiew Y Ho
Oct 26, 2006·Nature Clinical Practice. Cardiovascular Medicine·Tara KaramlouWilliam G Williams
Feb 24, 2006·Journal of Cardiac Surgery·Carl Lewis Backer
Feb 26, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Takuro KojimaNaokata Sumitomo
Aug 11, 2012·The Korean Journal of Thoracic and Cardiovascular Surgery·Tom R Karl
Aug 30, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Suji LeeByung Wook Choi
Aug 11, 2020·Cardiology in the Young·Dasana LingaswamyRaman Krishna Kumar
Sep 12, 2019·F1000Research·Jelle P G van der VenWillem A Helbing
Sep 15, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M A NørgaardG Pettersson

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