Impact of Neonatal Versus Nonneonatal Total Repair of Tetralogy of Fallot on Growth in the First Year of Life

Woldu, Kristal L.; Arya, Bhawna; Bacha, Emile A.; Williams, Ismée A.

doi:10.1016/j.athoracsur.2014.05.034

Cited by 21 publications

(18 citation statements)

References 16 publications

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“…The longer hospital stay in our finding is similar to the findings from previously reported retrospective studies. [9][10][11]15 Although the proportion of premature babies and those with DiGeorge syndrome were higher in the infants who underwent repair in neonatal period, their contribution to the worse prognosis in neonatal group were not significant. Even after adjusting for the impact of these variables, mortality rates were still higher in the neonatal group.…”

Section: Discussionmentioning

confidence: 94%

“…This number is similar to several other reports, although extensive literature review found that the reported rate of neonatal repair ranges from 5% to 76%. [8][9][10][11][12]14 Preference of the surgeons, based on training and experience as well as resource availability of each surgical program, may play a role in this wide variation.…”

Section: Discussionmentioning

confidence: 99%

“…These neonates were more likely to get transannular patch and less likely to get valve repair surgery. 10 This will have adverse long-term consequences, as transannular patches cause pulmonary regurgitation and multiple late consequences, including the need for the pulmonary valve replacement.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of In-Hospital Outcomes When Repair of Tetralogy of Fallot Is in the Neonatal Period Versus in the Post-Neonatal Period

Ghimire

Chou

Devoe

et al. 2020

The American Journal of Cardiology

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Comparison of In-Hospital Outcomes When Repair of Tetralogy of Fallot Is in the Neonatal Period Versus in the Post-Neonatal Period

Ghimire

Chou

Devoe

et al. 2020

The American Journal of Cardiology

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“…Neonatal surgical intervention may be needed in the setting of severe RVOT obstruction with or without ductal dependency [24]. Primary intracardiac repair is generally attempted in these patients [25]. Palliative shunts, most frequently BT shunts, are performed when primary surgical repair is not an option (e.g.…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcomes in Syndromic Tetralogy of Fallot: A Systematic Review and Evidence Quality Assessment

et al. 2019

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Background: Tetralogy of Fallot (ToF) is one of the most common cyanotic congenital heart defects. We sought to summarize all available data regarding the epidemiology and perioperative outcomes of syndromic ToF patients. Methods: A PRISMA-compliant systematic literature review of PubMed and Cochrane Library was performed. Results: Twelve original studies were included. The incidence of syndromic ToF was 15.3% (n=549/3,597). The most prevalent genetic syndromes were 22q.11.2 deletion (47.8%; 95% CI: 43.4-52.2) and trisomy 21 (41.9%; 95% CI: 37.7-46-3). Complete surgical repair was performed in 75.2% of the patients (n=161/214; 95% CI: 69.0-80.1) and staged repair in 24.8% (n=53/214; 95 CI: 19.4-30.9). Relief of RVOT obstruction was performed with transannular patch in 64.7% (n=79/122; 95% CI: 55.9-72.7) of the patients, pulmonary valve-sparing technique in 17.2% (n=21/122; 95% CI: 11.5-24.9), and RV-PA conduit in 18.0% (n=22/122; 95% CI: 12.1-25.9). Pleural effusions were the most common postoperative complications (n=28/549; 5.1%; 95% CI: 3.5-7.3). Reoperations were performed in 4.4% (n=24/549; 95% CI: 2.9-6.4) of the patients. All-cause mortality rate was 9.8% (n=51/521; 95% CI: 7.5-12.7). Conclusion: Genetic syndromes are seen in approximately 15% of ToF patients. Long-term survival exceeds 90%, suggesting that surgical management should be dictated by anatomy regardless of genetics.

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“…Neonatal primary repair is promoted in many centers. Unfortunately, these early primary repair results have been inconsistent (13,14). Woldu et al revealed that neonatal total repair was associated with a high rate of TAPE, but with higher weight-for-age scores at 1 year (13).…”

mentioning

confidence: 99%

The problems related with primary repair for tetralogy of Fallot, especially about transannular patch repair

Mizuno

Niwa

2017

Transl. Pediatr.

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Impact of Neonatal Versus Nonneonatal Total Repair of Tetralogy of Fallot on Growth in the First Year of Life

Cited by 21 publications

References 16 publications

Comparison of In-Hospital Outcomes When Repair of Tetralogy of Fallot Is in the Neonatal Period Versus in the Post-Neonatal Period

Comparison of In-Hospital Outcomes When Repair of Tetralogy of Fallot Is in the Neonatal Period Versus in the Post-Neonatal Period

Surgical Outcomes in Syndromic Tetralogy of Fallot: A Systematic Review and Evidence Quality Assessment

The problems related with primary repair for tetralogy of Fallot, especially about transannular patch repair

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