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Routine primary repair of tetralogy of Fallot in neonates and infants less than three months of age.

Identifieur interne : 005291 ( PubMed/Corpus ); précédent : 005290; suivant : 005292

Routine primary repair of tetralogy of Fallot in neonates and infants less than three months of age.

Auteurs : V M Reddy ; J R Liddicoat ; D B Mcelhinney ; M M Brook ; P. Stanger ; F L Hanley

Source :

RBID : pubmed:8604943

English descriptors

Abstract

Although primary repair of tetralogy of Fallot is increasingly undertaken in infancy, complete repair is generally performed in only selected symptomatic neonates.

PubMed: 8604943

Links to Exploration step

pubmed:8604943

Le document en format XML

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<title xml:lang="en">Routine primary repair of tetralogy of Fallot in neonates and infants less than three months of age.</title>
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<name sortKey="Reddy, V M" sort="Reddy, V M" uniqKey="Reddy V" first="V M" last="Reddy">V M Reddy</name>
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<nlm:affiliation>Division of Cardiothoracic Surgery, University of California San Francisco 94143-0118, USA.</nlm:affiliation>
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<author>
<name sortKey="Liddicoat, J R" sort="Liddicoat, J R" uniqKey="Liddicoat J" first="J R" last="Liddicoat">J R Liddicoat</name>
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<author>
<name sortKey="Mcelhinney, D B" sort="Mcelhinney, D B" uniqKey="Mcelhinney D" first="D B" last="Mcelhinney">D B Mcelhinney</name>
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<author>
<name sortKey="Brook, M M" sort="Brook, M M" uniqKey="Brook M" first="M M" last="Brook">M M Brook</name>
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<name sortKey="Stanger, P" sort="Stanger, P" uniqKey="Stanger P" first="P" last="Stanger">P. Stanger</name>
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<name sortKey="Hanley, F L" sort="Hanley, F L" uniqKey="Hanley F" first="F L" last="Hanley">F L Hanley</name>
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<title xml:lang="en">Routine primary repair of tetralogy of Fallot in neonates and infants less than three months of age.</title>
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<name sortKey="Reddy, V M" sort="Reddy, V M" uniqKey="Reddy V" first="V M" last="Reddy">V M Reddy</name>
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<nlm:affiliation>Division of Cardiothoracic Surgery, University of California San Francisco 94143-0118, USA.</nlm:affiliation>
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<name sortKey="Brook, M M" sort="Brook, M M" uniqKey="Brook M" first="M M" last="Brook">M M Brook</name>
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<name sortKey="Stanger, P" sort="Stanger, P" uniqKey="Stanger P" first="P" last="Stanger">P. Stanger</name>
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<name sortKey="Hanley, F L" sort="Hanley, F L" uniqKey="Hanley F" first="F L" last="Hanley">F L Hanley</name>
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<series>
<title level="j">The Annals of thoracic surgery</title>
<idno type="ISSN">0003-4975</idno>
<imprint>
<date when="1995" type="published">1995</date>
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<term>Echocardiography</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Patient Selection</term>
<term>Pulmonary Artery</term>
<term>Tetralogy of Fallot (complications)</term>
<term>Tetralogy of Fallot (diagnostic imaging)</term>
<term>Tetralogy of Fallot (surgery)</term>
<term>Treatment Outcome</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Tetralogy of Fallot</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Tetralogy of Fallot</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Tetralogy of Fallot</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Echocardiography</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Patient Selection</term>
<term>Pulmonary Artery</term>
<term>Treatment Outcome</term>
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<div type="abstract" xml:lang="en">Although primary repair of tetralogy of Fallot is increasingly undertaken in infancy, complete repair is generally performed in only selected symptomatic neonates.</div>
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<PMID Version="1">8604943</PMID>
<DateCreated>
<Year>1996</Year>
<Month>05</Month>
<Day>15</Day>
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<DateCompleted>
<Year>1996</Year>
<Month>05</Month>
<Day>15</Day>
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<DateRevised>
<Year>2016</Year>
<Month>11</Month>
<Day>23</Day>
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<ISSN IssnType="Print">0003-4975</ISSN>
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<Volume>60</Volume>
<Issue>6 Suppl</Issue>
<PubDate>
<Year>1995</Year>
<Month>Dec</Month>
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<Title>The Annals of thoracic surgery</Title>
<ISOAbbreviation>Ann. Thorac. Surg.</ISOAbbreviation>
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<ArticleTitle>Routine primary repair of tetralogy of Fallot in neonates and infants less than three months of age.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Although primary repair of tetralogy of Fallot is increasingly undertaken in infancy, complete repair is generally performed in only selected symptomatic neonates.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">From July 1992 through March 1995, 30 consecutive neonates and young infants with tetralogy of Fallot underwent routine primary repair. Group I (n = 10) consisted of patients with tetralogy of Fallot and pulmonary atresia (n = 5) or severe pulmonary stenosis (n = 5) who were duct dependent and were repaired in the neonatal period. Group II (n = 11) consisted of patients who were asymptomatic with arterial oxygen saturation between 75% and 90% (adequate pulmonary blood flow). Group III (n = 9) consisted of patients with "pink" tetralogy of Fallot (arterial oxygen saturation > 90%). Patients in groups II and III were electively scheduled for repair at about 2 months of age.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The postrepair peak systolic right ventricular-to-peak systolic left ventricular pressure ratio did not correlate (p = 0.96) with the branch pulmonary artery size. One patient died 2 months after operation, despite good hemodynamics, of uncontrollable diffuse subcutaneous edema due to familial distichiasis lymphedema syndrome. There were no late deaths. At a median follow-up of 19 months, 1 patient underwent balloon dilation of branch pulmonary arteries. Follow-up echocardiography revealed a 30 to 60 mm Hg right ventricle-to-pulmonary artery gradient in 3 patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Excellent early and midterm results can be accomplished with routine primary repair of tetralogy of Fallot in early infancy regardless of age, symptomatic status, coronary anatomy, and the size of branch pulmonary arteries as long as they arborize normally.</AbstractText>
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