Read by QxMD icon Read

Reoperation after repair of tetralogy of fallot

Massimo A Padalino, Biagio Castaldi, Marny Fedrigo, Michele Gallo, Fabio Zucchetta, Vladimiro L Vida, Ornella Milanesi, Annalisa Angelini, Giovanni Stellin
Surgery for congenital valve anomalies in children is a challenging topic. We aim to assess early and late functional outcomes of CorMatrix scaffold after repair of aortic and pulmonary valves (PV) in congenital heart disease in a prospective nonrandomized clinical study on children with congenital aortic (Group 1) or PV (Group 2) disease. Primary endpoints were reoperation or reintervention on semilunar valves and echocardiographic evidence of regurgitation or stenosis greater than mild. Results of PV repair in tetralogy of Fallot were compared with a control group of patients who underwent PV repair with polytetrafluoroethylene...
July 2016: Seminars in Thoracic and Cardiovascular Surgery
Woo Sung Jang, Woong-Han Kim, Sungkyu Cho
BACKGROUND: Left pulmonary artery (LPA) stenosis with acute angulation is a common cause of reoperation after tetralogy of Fallot repair. We therefore investigated surgical outcomes of acute-angle correction angioplasty. METHODS: Between 2005 and 2012, 53 patients underwent operation for LPA stenosis as a concurrent procedure. We divided the patients into two groups according to the LPA ostium angulation: group I (acute angle, acute-angle correction angioplasty, n = 29) and group II (obtuse angle, conventional patch angioplasty, n = 24), encompassing subgroup type I (focal stenosis) and type II (diffuse stenosis)...
October 15, 2016: Annals of Thoracic Surgery
Keti Vitanova, Julie Cleuziou, Christian Schreiber, Thomas Günther, Jelena Pabst von Ohain, Jürgen Hörer, Rüdiger Lange
BACKGROUND: Primary repair is the preferred strategy for surgical treatment of complete atrioventricular septal defect combined with the tetralogy of Fallot. However, a staged approach may be preferable for very small or cyanotic infants. The long-term outcomes of infants undergoing staged vs primary repair were compared. METHODS: Data from 47 patients with complete atrioventricular septal defect combined with the tetralogy of Fallot who were operated on at our institution between 1974 and 2013 were reviewed...
September 27, 2016: Annals of Thoracic Surgery
Takayoshi Ueno, Hideto Ozawa, Masaki Taira, Tomomitsu Kanaya, Koichi Toda, Toru Kuratani, Yoshiki Sawa
BACKGROUND: Pulmonary valve replacement (PVR) is a common reoperation, typically required approximately 10 years following right ventricular outflow tract reconstruction and especially true in cases of tetralogy of Fallot. However, an improved prosthetic valve is required. METHODS AND RESULTS: A fresh decellularized pulmonary allograft was used for PVR to correct pulmonary valve regurgitation in a 35-year-old man 33 years following tetralogy of Fallot repair...
2016: Circulation Journal: Official Journal of the Japanese Circulation Society
Jouke P Bokma, Michiel M Winter, Thomas Oosterhof, Hubert W Vliegen, Arie P van Dijk, Mark G Hazekamp, Dave R Koolbergen, Maarten Groenink, Barbara J M Mulder, Berto J Bouma
BACKGROUND: In patients with repaired tetralogy of Fallot (rTOF), multiple reoperations or percutaneous interventions after pulmonary valve replacement (PVR) may be necessary due to limited homograft durability. However, data to guide individualised prediction of homograft durability remain scarce. The aim of this study was to provide risk models for RV to pulmonary artery homograft durability. METHODS: This retrospective multicentre study included consecutive patients with rTOF who had undergone PVR at an age of >12 years...
November 2015: Heart: Official Journal of the British Cardiac Society
Judith A A E Cuypers, Myrthe E Menting, Elisabeth E M Konings, Petra Opić, Elisabeth M W J Utens, Willem A Helbing, Maarten Witsenburg, Annemien E van den Bosch, Mohamed Ouhlous, Ron T van Domburg, Dimitris Rizopoulos, Folkert J Meijboom, Eric Boersma, Ad J J C Bogers, Jolien W Roos-Hesselink
BACKGROUND: Prospective data on long-term survival and clinical outcome beyond 30 years after surgical correction of tetralogy of Fallot are nonexistent. METHODS AND RESULTS: This longitudinal cohort study consists of the 144 patients with tetralogy of Fallot who underwent surgical repair at <15 years of age between 1968 and 1980 in our center. They are investigated every 10 years. Cumulative survival (data available for 136 patients) was 72% after 40 years. Late mortality was due to heart failure and ventricular fibrillation...
November 25, 2014: Circulation
Pekka Ylitalo, Heta Nieminen, Olli M Pitkänen, Eero Jokinen, Heikki Sairanen
OBJECTIVES: Our study is a population-based evaluation of the long-term results after surgical repair for tetralogy of Fallot (TOF). All patients operated on in the country since the first procedure were identified via the Finnish research database of paediatric cardiac surgery and the Finnish population register. The follow-up was 99% completed due to comprehensive coverage of the registers. METHODS: The Finnish research database of paediatric cardiac surgery, surgical logs, diagnosis cards and computer files of the hospitals were used for data collection...
July 2015: European Journal of Cardio-thoracic Surgery
Gwan Sic Kim, Seungbong Han, Tae-Jin Yun
The long-term benefits of pulmonary annulus preservation in tetralogy of Fallot (ToF) repair in patients with a marginally small pulmonary annulus are controversial. We sought to determine whether pulmonary annulus preservation (AP) is superior to transannular patching (TAP) in lowering the risk of pulmonary valve implantation (PVI) long after the repair of ToF. Of the 255 patients who underwent total correction of ToF during infancy between January 1989 and December 2005, 114 patients (AP group = 57, TAP group = 57) were selected by propensity score matching for various preoperative variables, such as age and body weight at operation, sex, pulmonary artery size, pre-repair palliation, anatomical types of ventricular septal defect, and Z-score of pulmonary valve annulus diameter (PVA-Z)...
February 2015: Pediatric Cardiology
Jonathan Buber, Gabriele Egidy Assenza, Alice Huang, Anne Marie Valente, Sitaram M Emani, Kimberlee Gauvreau, Audrey C Marshal, Doff B McElhinney, Michael J Landzberg
BACKGROUND: Subpulmonary ventricular outflow conduits are utilized routinely to repair complex congenital cardiac abnormalities, but are limited by the inevitable degeneration and need for reintervention. Data on conduit durability and propensity to dysfunction in the adult population are limited. METHODS: The study included 288 consecutive patients ≥18 years of age who were evaluated between 1991 and 2010 after placement of a ≥18 mm conduit. Freedom from hemodynamic conduit dysfunction served as our primary outcome...
August 20, 2014: International Journal of Cardiology
Dmitry Bobylev, Dietmar Boethig, Thomas Breymann, Annika Mathoni, Alexander Horke, Masamichi Ono
BACKGROUND: This study we evaluate our results for surgical treatment of thoracic aortic aneurysms in patients with congenital heart disease. PATIENTS AND METHODS: Fifty patients aged between 12 and 71 years were treated for 51 thoracic aortic aneurysms. Forty-four of the patients developed aneurysms in the ascending aorta and seven developed aneurysms in the descending aorta. The underlying diseases for ascending aortic aneurysms included 16 congenital aortic stenosis, 16 bicuspid aortic valves, 4 transposition of the great arteries, 3 tetralogy of Fallot, 2 truncus arteriosus communis, and 3 other diseases...
August 2015: Thoracic and Cardiovascular Surgeon
Takaya Hoashi, Koji Kagisaki, Yin Meng, Heima Sakaguchi, Kenichi Kurosaki, Isao Shiraishi, Toshikatsu Yagihara, Hajime Ichikawa
OBJECTIVES: The aim of our study was to evaluate the long-term outcomes after definitive repair of tetralogy of Fallot with preservation of the pulmonary valve (PV) annulus. METHODS: From 1989 to 2000, 84 of 222 patients (37.8%) with tetralogy of Fallot and PV stenosis underwent definitive repair with preservation of the PV annulus without right ventriculotomy. PV commissurotomy was concomitantly performed in 74 patients (88.1%). The PV was bicuspid in 56 patients (66...
September 2014: Journal of Thoracic and Cardiovascular Surgery
Guocheng Shi, Huiwen Chen, Haifa Hong, Haibo Zhang, Jinghao Zheng, Jingfen Liu, Zhiwei Xu
OBJECTIVES: Management of complete atrioventricular (AV) septal defect (CAVSD) with a large ventricular component (>1 cm) remains controversial. The purpose of this study was to assess the feasibility of the one-and-a-half patch technique in repairing this lesion. METHODS: This was a retrospective review of patients undergoing surgical repair of CAVSD with a large ventricular component (>1 cm). Of the 51 patients who were identified in our database (2005-13), 18 underwent the two-patch repair, 12 underwent the modified single-patch repair and 21 underwent the one-and-a-half-patch repair...
March 2015: European Journal of Cardio-thoracic Surgery
Kazuki Morimoto, Takaya Hoashi, Koji Kagisaki, Kenichi Kurosaki, Isao Shiraishi, Hajime Ichikawa
OBJECTIVE: This study reviewed surgical outcomes of staged repair for complete atrioventricular septal defect with tetralogy of Fallot, especially with focusing on the post-operative left-sided atrioventricular valve function. METHODS: Between 1992 and 2013, 10 patients with complete atrioventricular septal defect with tetralogy of Fallot underwent total correction by the following surgical strategy. Systemic-to-pulmonary shunt was placed at first at the mean age of 1...
October 2014: General Thoracic and Cardiovascular Surgery
Bryan G Maxwell, Lisa Wise-Faberowski
Improved survival from congenital heart disease has led to an increasing need for complex reoperation by reentrant sternotomy. Peripheral cannulation and initiation of cardiopulmonary bypass prior to sternotomy to avoid the risk of cardiac injury and massive hemorrhage is an option in adults and larger children, but femoral vessel size precludes this strategy in infants. We describe the management of a high-risk reentry sternotomy in an infant for repair of a giant pseudoaneurysm after prior homograft repair of tetralogy of Fallot, using surgical dissection for suprasternal cannulation of the innominate artery and subxyphoid cannulation of the inferior vena cava...
January 2014: Annals of Cardiac Anaesthesia
Yves d'Udekem, John C Galati, Igor E Konstantinov, Michael H Cheung, Christian P Brizard
OBJECTIVE: To compare the long-term reoperation rates among surgeons performing transatrial repair of tetralogy of Fallot. METHODS: The data set of 675 patients undergoing transatrial repair of tetralogy of Fallot at 1 institution from 1980 to 2005 was analyzed for intersurgeon differences in the reoperation rates. RESULTS: A follow-up period >15 years was available for 5 surgeons, allowing for comparison (541 patients; >80 patients/surgeon)...
March 2014: Journal of Thoracic and Cardiovascular Surgery
Hyungtae Kim, Si Chan Sung, Yun Hee Chang, Hyoung Doo Lee, Ji Ae Park
OBJECTIVES: Postoperative left pulmonary artery (LPA) kinking is problematic in repair of tetralogy of Fallot (TOF). We used angioplasty of the proximal LPA with an anterior wall flap of the main pulmonary artery (MPA) to prevent this problem. METHODS: We have used an anterior wall of the MPA as a flap for LPA angioplasty in 42 patients with TOF and pulmonary stenosis (26 males and 16 females) since February 2007. During the same period, 116 patients underwent total repair of TOF with pulmonary stenosis...
December 2014: Journal of Thoracic and Cardiovascular Surgery
Vladimiro L Vida, Alvise Guariento, Biagio Castaldi, Matteo Sambugaro, Massimo A Padalino, Ornella Milanesi, Giovanni Stellin
BACKGROUND: The aim of the study was to evaluate our results with pulmonary valve (PV) preservation in selected patients with tetralogy of Fallot (TOF). METHODS: From January 2007, 69 patients who underwent early transatrial TOF repair were enrolled in the study. The patients were divided into 2 groups: PV preservation by PV annulus balloon dilation (group 1) and PV cusp reconstruction after annular incision (group 2). RESULTS: Thirty-four patients underwent a successful PV annular preservation (49%)...
February 2014: Journal of Thoracic and Cardiovascular Surgery
Sonya V Babu-Narayan, Gerhard-Paul Diller, Radu R Gheta, Anthony J Bastin, Theodoros Karonis, Wei Li, Dudley J Pennell, Hideki Uemura, Babulal Sethia, Michael A Gatzoulis, Darryl F Shore
BACKGROUND: Indications for surgical pulmonary valve replacement (PVR) after repair of tetralogy of Fallot have recently been broadened to include asymptomatic patients. METHODS AND RESULTS: The outcomes of PVR in adults after repair of tetralogy of Fallot at a single tertiary center were retrospectively studied. Preoperative cardiopulmonary exercise testing was included. Mortality was the primary outcome measure. In total, 221 PVRs were performed in 220 patients (130 male patients; median age, 32 years; range, 16-64 years)...
January 7, 2014: Circulation
Juan Villafañe, Jeffrey A Feinstein, Kathy J Jenkins, Robert N Vincent, Edward P Walsh, Anne M Dubin, Tal Geva, Jeffrey A Towbin, Meryl S Cohen, Charles Fraser, Joseph Dearani, David Rosenthal, Beth Kaufman, Thomas P Graham
Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect. We explore "hot topics" to highlight areas of emerging science for clinicians and scientists in moving toward a better understanding of the long-term management of patients with repaired TOF. From a genetic perspective, the etiology of TOF is multifactorial, with a familial recurrence risk of 3%. Cardiac magnetic resonance is the gold standard assessment tool based on its superior imaging of the right ventricular (RV) outflow tract, pulmonary arteries, aorta, and aortopulmonary collaterals, and on its ability to quantify biventricular size and function, pulmonary regurgitation (PR), and myocardial viability...
December 10, 2013: Journal of the American College of Cardiology
Bo Zhang, Jiali Liang, Xiaozhou Zheng, Guanhua Jiang, Zhe Yang, Luying Zhang, Yong Zhang, Haofeng Sun
OBJECTIVES: The reoperations of postoperative residual ventricular septal defects (VSDs) are associated with higher risks. Our aim is to assess the efficacy and safety of transcatheter closure of postoperative residual VSDs using perimembranous VSD occluders. METHODS: Twenty-one patients with residual VSDs underwent transcatheter closure in our center from January 2005 to January 2012. The study population consisted of 9 males and 12 females whose ages ranged from 1...
August 2013: Journal of Invasive Cardiology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"