D. Abramov et al., REPEATED REPAIR OF TETRALOGY OF FALLOT - REPORT OF 11 CASES AND REVIEW OF THE LITERATURE, Scandinavian journal of thoracic and cardiovascular surgery, 29(3), 1995, pp. 111-113
Eleven patients underwent late repeated correction of tetralogy of Fal
lot in 1991-1993. The previous operation was repair of simple Fallot's
tetralogy in seven cases, repair plus transannular patch in one case
and repair of tetralogy and pulmonic atresia in three cases. The indic
ations for reoperation were residual ventricular septal defect, right
ventricular outflow tract (R.V.O.T.) obstraction, residual branch pulm
onary artery stenosis, aneurysmal dilatation of R.V.O.T. Patch or comb
ination of any of the above. At reoperation these defects were correct
ed. The post operative course was uneventful in eight patients. Two re
quired mechanical ventilation for 2-3 days, and one underwent another
operation for residual branch pulmonary artery stenosis. The functiona
l and haemodynamic results were good in ten patients, and one had resi
dual distal pulmonary artery stenosis. There were no death during 2 ye
ars of follow-up. Repeated correction of tetralogy of Fallot thus had
low postoperative morbidity and good haemodynamic results. For the rel
atively few patients initially found to have tetralogy of Fallot and p
ulmonic atresia, the outcome may be less favorable.