Author/Editor     Kosin, M
Title     Vpliv razvitosti pljučnih arterij na pooperativni potek bolnikov s tetralogijo Fallot
Type     monografija
Place     Ljubljana
Publisher     Medicinska fakulteta
Publication year     1991
Volume     str. 48
Language     slo
Abstract     Sixtyone good quality cardioangiograms from patients operated upon for tetralogy of Fallot in our department between 1986 and 1989 were reviewed. All the patients had tetralogy of Fallot with pulmonary stenosis (no atresia) with orthograde patency of both pulmonary arteries. Fourtyone patients (67.2 percent) underwent primary total repair; twenty patients (32.8 percent) underwent palliation: either a systemic to pulmonary artery shunt or an open Brock procedure. Classical total repair was done in seven patients, a subannular patch was used in 13, and a transannular patch in 21. Seven patients had had a systemic to pulmonary artery shunt prior to total repair. The mean ratio of the diameter of the right pulmonary artery to that of the ascending aorta (Rpa/Ao asc.) was o.57 in the group managed with total repair, and 0.47 in the group managed with palliative procedures (p less than 0.01). The mean ratio of the diameter of the main pulmonary artery to that of the descending aorta (Mpa/Ao desc.), was 0.92 in the former group, and o.70 in the latter (p less than 0.01). The mean ratio of the diameter of the pulmonary annulus to that of the descending aorta (Annul/Ao desc.) was 1.04 in the former group and 0.69 in the latter (p less than 0.01). In the total repair group, the differences in the mean ratios Rpa/Ao asc. and Mpa/Ao desc. between the patients undergoing classical total correction and those managed with a sub- or transannular patch were statistically significant. In the group undergoing palliative procedures, there was a statistically significant difference in the Annul /Ao desc. ratio between the patients managed with a systemic to pulmonary artery shunt and those managed with an open Brock procedure. The mean value of the pulmonary index (PA index) was 307 mm2 ?BSA in the total repair group, and 219 mm2 /BSA in the group undergoing palliative procedures (p less than 0.01).(trunc.)
Descriptors     TETRALOGY OF FALLOT
PULMONARY ARTERY
CINEANGIOGRAPHY
INFANT
CHILD
PALLIATIVE TREATMENT
INTRAOPERATIVE PERIOD
POSTOPERATIVE PERIOD
POSTOPERATIVE COMPLICATIONS
PROGNOSIS