Evolution a long terme des enfants operes de tetralogie de Fallot. [Long-term evolution of children operated on for tetralogy of Fallot]
Details
Serval ID
serval:BIB_DEEC8E1B60CA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evolution a long terme des enfants operes de tetralogie de Fallot. [Long-term evolution of children operated on for tetralogy of Fallot]
Journal
Schweizerische Medizinische Wochenschrift
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
11/1983
Volume
113
Number
45
Pages
1645-50
Notes
English Abstract
Journal Article --- Old month value: Nov 12
Journal Article --- Old month value: Nov 12
Abstract
While open heart surgery has much improved the prognosis of tetralogy of Fallot, surgical repair does not usually restore completely normal anatomy. Residual defects include some degree of pulmonary stenosis, pulmonary regurgitation (unavoidable if the pulmonic valve and valve ring need to be widened by patch), and, sometimes, residual ventricular septal defect. In addition, left and right ventricular dysfunction of mild to moderate degree, unrelated to residual lesions, may be observed. Other late complications may arise from conduction disturbances and ventricular arrhythmias. The occurrence of late sudden death is related to such rhythm disturbances, it occurs particularly in patients with ventricular premature beats on routine ECGs and is probably due to ventricular fibrillation. Patients with such premature beats must therefore be treated with antiarrhythmic drugs. In spite of these late complications, the majority of patients lead a normal life and professional integration is usually excellent. Many patients practise sports. Exercise tests late after surgery show mild or moderate decrease in maximal exercise performance if there are residual lesions of significance, and especially when there is more than one such residua (e.g. pulmonic stenosis and regurgitation). Life expectancy should be normal, at least for postoperative patients with minimal residual lesions.
Keywords
Age Factors
Arrhythmia/etiology
Child
Follow-Up Studies
Humans
Postoperative Complications
Prognosis
Pulmonary Valve Stenosis/etiology
Tetralogy of Fallot/rehabilitation/*surgery
Pubmed
Web of science
Create date
28/01/2008 9:17
Last modification date
20/08/2019 16:03