Key result
Early mortality for intracardiac repair of tetralogy of Fallot has reduced to ~0%, with 30-year survival rates ranging from 86% to 91.7%.
Why the study?
Despite advances reducing early mortality after intracardiac repair of tetralogy of Fallot, reoperations remain a clinical challenge.
Case Report
The text highlights the historical improvement in survival rates for repaired Tetralogy of Fallot, setting the context for a case report on redo resection of residual RVOT obstruction.
Answers are grounded in this paper and cite their sources.
Improved long-term TOF survival increases need for adult congenital expertise; leaves open optimal management of residual lesions.
Following the introduction of intracardiac repair of tetralogy of Fallot, early mortality in 1950s was as high as 25%. However, by the mid-1980s, this has reduced to 2% and currently ~ 0% even in neonates and young infants despite the risk of reoperations, a large number of studies have documented satisfactory long-term survival rates in repaired tetralogy of Fallot, with a 30-year survival rate ranging from 86% to 91.7%
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Jani et al. (2020) conducted a case report in Tetralogy of Fallot. Redo resection of residual right ventricular outflow tract obstruction was evaluated. Early mortality for intracardiac repair of tetralogy of Fallot has reduced to ~0%, with 30-year survival rates ranging from 86% to 91.7%.
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