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Abstract
Objective: Long term results of treatment for total correction of tetralogy of Fallot is unknow in Vietnam. We conduct this study to evaluate the long - term results of surgical treatment for tetralogy of Fallot in Children Heart Center, National Children Hospital, Hanoi, Vietnam.
Methods: A retrospective study was conducted to evaluate the long - term outcome after total correction for tetralogy of Fallot in Children Heart Center - National Children Hospital, Hanoi, Vietnam since December 2006 to December 2020.
Results: There were 532 patients operated during the study period. The median patient age was 11.7months (8.8 - 17.4). The hospital mortality was 11 patients (2.1%), and the late mortality was 2 patients (0.4%). There were 12 patients required re - operation during follow up, with the median time of follow - up was 40.4 ± 26.27months. According to Ross classification about heart failure, the majority of the patient have no heart failure, and only 1 patient have Ross - III. The echocardiography at the last visit shows: 144 patients (27%) have free pulmonary regurgitation, 42 patients (7.9%) have moderate pulmonary regurgitation, and 90 patients (16.9%) have right ventricle enlargement, with 2 patients have severe tricuspid valve regurgitation. The electrocardiogram shows:
right bundle block was 54.2%; right ventricular dilation was 68.2%, and 2.3% of the patient have first degree of
atrioventricular block.
Conclusion: Long term results of total correction for tetralogy of Fallot in Children Heart Center, National Children Hospital are good. Further investigation is needed to evaluate the late mortality and morbidity in this complex heart disease
References
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| Published | 03-03-2025 | |
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| Issue | No. 73 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.73.6 | |
| Keywords | Từ khoá: Tứ chứng Fallot, phẫu thuật sửa toàn bộ, kết quả lâu dài Key words: Tetralogy of Fallot, total correction, long term results. |
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