SURGERY RESULTS OF CORRECT TETRALOGY OF FALLOT IN CHILDREN UNDER 1 YEAR OLD AT HANOI HEART HOSPITAL AND THANH HOA CHILDREN'S HOSPITAL
Main Article Content
Abstract
Object: Evaluation of the effectiveness of surgery to correct all tetralogy of Fallot in children
under 1 year old at Hanoi Heart Hospital and Children’s Hospital of Thanh Hoa province.
Methods: A prospective follow-up study on 115 patients at Thanh Hoa Children’s Hospital
and Hanoi Heart Hospital for 3 years.
Results: The rate of early mortality after surgery, complications immediately after surgery,
reoperation during the hospital stay and early complications after surgery was 1.7%,
respectively; 0.9%; 5.3% and 53.9%. SpO2 and heart failure classification according to
ROSS significantly improved after surgery. Only 1 patient with arrhythmia was detected at
the time of discharge 1 month later, no longer having this symptom. The degree of tricuspid
regurgitation increased at hospital discharge compared with before surgery. The degree of
pulmonary regurgitation decreased slightly after 1 month of discharge compared to when
discharged from the hospital. But the degree of regurgitation of the pulmonary valve and the
tricuspid valve did not increase significantly over time. The maximal transvalvular pressure
difference and right ventricular dilatation also improved significantly at the time of followup compared with preoperatively or at hospital discharge.
Conclusion: The results of the study show that the total surgical repair of tetralogy of Fallot
has many positive effects on children under 1 year of age.
Article Details
Keywords
Tetralogy of Fallot, complete correction of tetralogy of Fallot, children under 1 year of age, children, results of treatment.
References
correct all tetralogy of Fallot at Viet Duc
Hospital, Hanoi Medical University, Hanoi,
2008.
[2] Thuu LQ, Research on surgical treatment
and complete repair of Tetralogy of Fallot,
Military Medical Academy, Hanoi, 2008.138
[3] Anh NV, Review of the results of surgery
to correct all of Fallot IV for children under
12 months old at Viet Duc Hospital, Hanoi,
2019.
[4] Viet PT, Research on the role of Z index
in predicting the ability to preserve the
pulmonary valve annulus during radical
surgery for tetralogy of Fallot, University of
Medicine and Pharmacy, Ho Chi Minh City,
2017.
[5] Hien NS, Research and application of right
ventricular non-opening technique in radical
surgical treatment of tetralogy of Fallot at
Hanoi Heart Hospital, Doctor of Medicine
thesis, Hanoi Hanoi Medical University,
Hanoi, 2011.
[6] Samuel B, Ariane M, Alain V et al., “The
30-Year Outcomes of Tetralogy of Fallot
According to Native Anatomy and Genetic
Conditions”, Canadian Journal of Cardiology,
2021, 37(6), p. 877-886.
[7] Fernando AMM, “Tetralogy of Fallot after
repair: A heritage of modern cardiac surgery”,
Revista Portuguesa de Cardiologia, 2018,
37(9), p. 781-782.
[8] Dinh NH, “Early results of radical repair
surgery through right atrium and pulmonary
artery opening in the treatment of tetralogy of
Fallot”, Vietnamese Medicine, 2008, 352(2),
p. 70-76..
[9] Waqar T, Riaz MU, Mahar T, “Tetralogy
of Fallot repair in patients presenting after
Infancy: A single surgeon experience”, Pak J
Med Sci, 2017, 33(4), p. 984-987.
[10] Hanh LM, Van DTH, Quynh DT et al,
“Study on arrhythmias after open heart
surgery at the National Children’s Hospital”,
Journal of Pediatrics, 2016, 9(4),p6.