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The Journal of Thoracic and Cardiovascular Surgery, Vol 103, 706-723, Copyright © 1992 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
JW Kirklin, EH Blackstone, RA Jonas, Y Shimazaki, JK Kirklin, JE Mayer Jr, AD Pacifico and AR Castaneda
Survival after entry and survival after repair (94%, 91%, and 91% at 1
month, 1 year, and 5 years, respectively) were similar in two institutions
treating 196 consecutive patients, and there was no advantage (and a
possible disadvantage) of a protocol of preliminary shunting and later
repair in very young patients. Size and configuration of the right and left
pulmonary arteries had no demonstrable effect on survival, prevalence of
transannular patching, or postrepair right ventricular-left ventricular
pressure ratio. Small size of the pulmonary "anulus" and trunk were risk
factors for death, transannular patching, and high postrepair pressure
ratio. High postrepair pressure ratio was a risk factor for death after
repair. Very young age (less than about 3 months) was a risk factor for
death after repair, particularly when other risk factors coexisted. The
prevalence of transannular patching in patients with mild infundibular and
pulmonary anulus and trunk hypoplasia decreased across the time of the
study, without ill effect. The usefulness of measuring postrepair right
ventricular-left ventricular pressure ratio is emphasized by the data.
ARTICLES
Morphologic and surgical determinants of outcome events after repair of tetralogy of Fallot and pulmonary stenosis. A two-institution study
Department of Surgery, University of Alabama, Birmingham School of Medicine.
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