Surgical treatment of adult Tetralogy of Fallot in 135 patients

doi:10.3969/j.issn.1672-5301.2017.06.005

Abstract：Objective To review the clinical experience in surgical treatment of Tetralogy of Fallot in adult patients.Methods From January 2006 to August 2016,135 adult patients with Tetralogy of Fallot received surgical treatment.The age ranged from 18 to 52 years old.A transannular RVOT patch were constructed in 91 cases,in 17 cases only RVOT was widen,and the incision of RV was closed directely in 27 cases.Results 3 patients died during hospitalization with a hospital mortality of 2.2％.The causes of death were low output syndrome (LOS) and then complicated by multiple organ failure.Main postoperative complications included residual shunt needed reoperation in 2 case,transient A-V block in 4,pericardial effusion in 2,pleural effusion in 5,at-electasis in 4,lung infection in 2,renal failure in 2 (1 died and 1 recovered after hemodialysis).128 patients were followed up from 3 months to 55 months,average 16.6 months.96 cases were in NYHA class I,32 cases in class Ⅱ.Conclusion By careful surgical management,complete deformity correction,satisfactory myocardial protection and postoperative management,the treatment of total correction in adult patients with TOF may result in satisfactory long-term clinical effect.