Key result
Total correction of Fallot's tetralogy is associated with ~28% mortality but leaves survivors disability-free.
Why the study?
What are the outcomes and mortality rates of total correction for Fallot's tetralogy?
Observational (n=86)
What are the outcomes and mortality rates of total correction for Fallot's tetralogy?
Total correction of Fallot's tetralogy in this historical series carried a 28% mortality rate, though survivors experienced good outcomes without disability.
Answers are grounded in this paper and cite their sources.
Early tetralogy of Fallot repair carried high mortality; leaves open contemporary outcomes and long-term durability.
Eighty-six patients with Fallot's tetralogy underwent total correction; 80% of them were less than 15 years old. Twenty-five patients were operated upon with primary intracardiac repair, while 61 had undergone some form of palliative heart surgery previously. A patch of woven Dacron was used in the outflow tract reconstruction in 9 cases. The total mortality was 28%, 11 of the 23 deaths were presumed to be caused by low cardiac output, arrhythmia and cardiac arrest. The 62 patients surviving surgery have continuously had a good result and are without disability. The reasons for the relatively high mortality in this series, as well as the controversy concerning the one-stage or the two-stage approach for repair of Fallot's tetralogy, are briefly discussed.
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Rostad et al. (1976) conducted an observational in Fallot's tetralogy (n=86). Total correction of Fallot's tetralogy was evaluated on Total mortality. Total correction of Fallot's tetralogy resulted in a 28% total mortality rate, though the 62 surviving patients had continuously good results without disability.
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