| Title: |
DOES PRESERVATION OF PULMONARY VALVE THROUGH TRANSATRIAL AND TRANSVENTRICULAR APPROACH IN PRIMARY REPAIR OF TETROLOGY OF FALLOT IMPROVES CLINICAL OUTCOMES: A PILOT STUDY AT AFIC/NIHD. |
| Authors: |
Afridi, Inamullah Khan; Chaudhry, Imtiaz Ahmad; Pervaiz, Farrah; Inam, Tehreem; Bushra Inam, Lailat ul; Inam, Hafsa |
| Source: |
Pakistan Armed Forces Medical Journal; Apr2017, Vol. 67 Issue 2, pS232-S236, 5p, 1 Chart, 2 Graphs |
| Subject Terms: |
PULMONARY valve; TETRALOGY of Fallot; HEALTH outcome assessment; HEART diseases; THERAPEUTICS; SEPSIS; DISEASE risk factors |
| Abstract: |
Objective: This study evaluates the effect of preserving pulmonary valve in total correction repair for Tetrology of Fallot in terms of early clinical outcomes. Study Design: Retrospective observational study. Place and Duration of Study: Armed Forces Institute of Cardiology and National Institute of Heart Disease, from Oct 2016 to Jan 2017. Material and Methods: All 15 cases of classic Tetrology of Fallot (TOF) undergoing total correction by a single operator were studied for early post operative outcomes. A total of 15 patients with classic TOF were included in this study. There were 10 (66.7%) males and 5 (33.3%) females. The age ranged from 2-15 years with a mean age of 6.73 ± 4.2 years. Total correction for tetrology of Fallot was done through primary repair securing the integrity of the pulmonary valve. Two of the patients (13.32%) had repair through mono cusp valve made from native pericardium while 2 (13.32%) had Donhl patch to main pulmonary artery and right ventricular outflow tract. Six of all patients (39.69%) had normal pulmonary valve while 5 patients (33.30%) had open pulmonary valvotomy. Results: One patient (6.66%) died due to septicemia after having pulmonary valvotomy and MAPCA coiling in total correction procedure. Bilateral pleural effusion was reported in 4 (26.64%) and 2 patients (13.32%) had ascites. Superficial wound infection occurred in 4 (26.64%) of the patients. Conclusion: Pulmonary valve securing approach is a significant factor for total correction complete repair for tetrology of Fallot. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |