SavedAdd your journal

Journals / Van Tıp Dergisi / 2005 / Cilt: 12 - Sayı: 3

Tetralogy of fallot influence of transannular patch on early and mid-term outcome

Fallot tetralojisinde transanüler yama uygulamasının erken ve orta dönem sonuçları

HASAN EKİM
Veysel KUTAY
HAKAN AKBAYRAK
Abdussemet HAZAR
Melike KARADAĞ
Halil BAŞEL
İsmail DEMİR
Cevat YAKUT
Pages
189–194
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Transannular patching can yield excellent results in short and mid-term.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Complete repair of Tetralogy of Fallot (TOF) with small pulmoner valve annulus needs transannular patch.The resultant pulmonary regurgitation may lead to ventricular dysfunction.
📊
Key Findings & Data:Methods: Between May 2000 and March 2005, 20 patients with TOF underwent complete repair vsing transannular patch at the Yuzuncu Yıl University and Van Yüksek ihtisas Hospitals.
💡
Conclusion & Impact:Transannular patching can yield excellent results in short and mid-term.
🔬Design:Review & Systematic Survey
📍Scope:2000 Verileri
⚙️Variables:Tedavi sonucu · Fallot tetralojisi · Yama-klemp teknikleri

Abstract

Aim: Complete repair of Tetralogy of Fallot (TOF) with small pulmoner valve annulus needs transannular patch.The resultant pulmonary regurgitation may lead to ventricular dysfunction. The aim of our study is to review our experience with complete repair of TOF requiring transannular patching. Methods: Between May 2000 and March 2005, 20 patients with TOF underwent complete repair vsing transannular patch at the Yuzuncu Yıl University and Van Yüksek ihtisas Hospitals. There were 11 female and 9 male patients aging between 3-24 years. Results: All patients were diagnosed preoperatively by echocardiography and cardiac catheterization. After complete repair using transannular patch graft, there was a significant improvement in the functional class. There were no deaths.Conclusion: We recommend that, when there is no ontraindication; all patients with TOF should have total correction regardless of the age. Transannular patching can yield excellent results in short and mid-term.

Özet

Amaç: Küçük pulmoner anulusu olan Fallot tetralojisinde (TOF) transanüler yama gerekir. Bu da pulmoner rejürjitasyona yol açabilir. Amacımız transanüler yama gerektiren TOF'lu hastalarda tam onarımı ile ilgili tecrübelerimizi gözden geçirmektir. Metod: Mayıs 2000 ile Mart 2005 tarihleri arasında Van Yüksek İhtisas Hastanesi ile Yüzüncü Yıl Üniversitesi Tıp Fakültesi Hastanesinde 20 hastaya TOF tanısıyla tam onarım operasyonu yapılarak perikardiyal yama ile sağ ventrikül çıkımı ve anülüsü genişletilmiştir. Hastaların yaşları 3 ile 24 arasında değişmekte olup, 11'i kız ve 9'u erkek idi. Bulgular: Tanı tüm hastalarda operasyon öncesi uygulanan ekokardiyografi ve kardiyak kataterizasyonla kondu.Transannuler yama kullanılarak yapılan tam onarım sonrası hastaların fonksiyonel kapasitelerinde anlamlı düzelme oldu. Ölen hastamız olmadı. Sonuç: TOF tanısı konunca yaşına bakılmadan kontrendikasyon olmadıkça tüm hastalar öpere edilmelidir. Anulusu dar olan hastalarda transanüler yama kullanılması kısa ve orta dönemde iyi tolere edilir ve hastaların fonksiyonel kapasiteleri düzelir.

🔖

Cite This Article

EKİM, H., KUTAY, V., AKBAYRAK, H., HAZAR, A., KARADAĞ, M., BAŞEL, H., DEMİR, İ., YAKUT, C. (2005). Tetralogy of fallot influence of transannular patch on early and mid-term outcome. Van Tıp Dergisi, Cilt: 12 - Sayı: 3, 189–194. https://ajindex.com/articles/334845

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Erdoğan HB, Bozbuğa N, Kayalar N, et al. Long-term outcome after total correction of Tetralogy of Fallot in adolescent and adult age. J Card Surg;20:119- 123,2005
  2. Murphy JG, Gresh BJ, Mair DD, et al. Long-term outcome in patients undergoing surgical repair of Tetralogy of Fallot. N Engl J Med;329:593-599,1993
  3. Nollert GDA, Dabritz SH, Schmoeckel M, et al. Risk factors for sudden death after repair of tetralolgy of Fallot. Ann Thorac Surg;76:1901-1905, 2003
  4. Sung Si C, Kim S, Woo JS, et al. Pulmonic valve annular enlargement with valve repair in tetralogy of Fallot. Ann Thorac Surg;75:303-305, 2003
  5. Ellison RG, Brown WJ, Yeh TJ, et al. Surgical significance of acute and chronic pulmonary valvular insufficiency. J Thorac Cardiovasc Surg;60:549-558, 1970
  6. Van Praag R, Van Praag S, Nebesar RA, etal. Tetralogy of Fallot: underdevelopment of the pulmonary infundibulum and its sequelae. Am J Cardiol;26 (25),1970
  7. Park In-S, Leachman RD and Cooley D. Total correction of tetralogy of Fallot in adults: Surgical results and long-term follow-up. Texas Heart Institute Journal.;14:160-169, 1987
  8. Knott-Craig CJ, Elkins RC, Lane MM, et al. A 26- year experience with surgical management of tetralogy of Fallot: Risk analysis for mortality or late reintervention. Ann Thorac Surg;66:506-511, 1998
  9. Caspi J, Zalstein E, Zucker N, et al. Surgical management of tetralogy of Fallot in the first year of life. Ann Thorac Surg;68:1344-1349, 1999
  10. Haworth SG, McKenzie SA, Fitzpatrick M, et al. Alveolar development after ligation of left pulmonary artery in newborn pig: clinical relevance to unilateral pulmonary artery. Thorax;36:938-943, 1981
  11. Jonsson H, Ivert T, Brodin L-A, et al. Late sudden deaths after repair of tetralogy of Fallot. Scand J Thorac Cardiovasc Surg;29:131-139, 1995
  12. Çobanoğlu A and Schultz JM. Total correction of tetralogy of Fallot in the first year of life: late results. Ann Thorac Surg;74:133-138, 2002
  13. Fraser CD, McKenzie ED and Cooley D. Tetralogy of Fallot: surgical management individualized to the patient. Ann Thorac Surg;71:1556-1563, 2001
  14. Aytaç A.Fallot teralojisi tam düzeltme ameliyatında 39 yıllık sonuçlar. T Klin Kardiyoloji.;16:327-331, 2003
  15. John S, Kjriwal NK, Ravikumar E, et al. The clinical profile and surgical treatment of Fallot in the adult: Results of repair in 200 patients. Ann Thorac Surg;41:502-506, 1986
  16. Gatzoulis MA, Till JA, Somerville J, et al. Mechanoelectrical interaction in t