Outcomes of Total Surgical Correction for Tetralogy of Fallot in Benghazi
Tetrology of Fallot (TOF) is the most common cyanotic congenital heart disease, accounting for 10% of all types of congenital heart disease. Despite decreased mortality rates by improvement in surgery and post-cardiac intensive care, there continues to be late postoperative complications. This stud...
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| Format: | Article |
| Language: | English |
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Omar Al-Mukhtar University
2020-09-01
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| Series: | مجلة المختار للعلوم |
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| Online Access: | https://omu.edu.ly/journals/index.php/mjsc/article/view/252 |
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| author | Marium Mohamed Mustafa Rasmyia H. Elfatory Aziza I. Gadwar Khadija imhemed elshreef Hagir M. Alshabi |
| author_facet | Marium Mohamed Mustafa Rasmyia H. Elfatory Aziza I. Gadwar Khadija imhemed elshreef Hagir M. Alshabi |
| author_sort | Marium Mohamed Mustafa |
| collection | DOAJ |
| description |
Tetrology of Fallot (TOF) is the most common cyanotic congenital heart disease, accounting for 10% of all types of congenital heart disease. Despite decreased mortality rates by improvement in surgery and post-cardiac intensive care, there continues to be late postoperative complications. This study aimed to evaluate the outcomes after total repair of tetralogy of Fallot, including 44 children who underwent complete surgical repair between 2000 to 2018. Data were collected from medical records and directly from patients during their visit to the clinic, that included: history, clinical examination, gender, age at operation, results of ECG, Holter monitoring, echocardiography, cardiac catheterization, cardiac CT scan. Follow-up ranged from 6 months to18 years. Results revealed that the M/F ratio was 1.4:1. Also, two patients had a previous palliative systemic artery to PA shunt. A TAP was inserted in 22 (50%) patients. Postoperative complications were: severe PR 29%, small residual VSD 18.1%, and two patients had significant VSD which needed surgical intervention, residual RVOT 8.1%, RBBB 97.7%, There was three death (6.8%), and 36.3% of patients will need surgical intervention in the future. It was concluded that follow-ups up to adulthood to monitor potential complications are necessary. QRS duration is used for monitoring ventricular arrhythmia and sudden death. Echocardiography is a non-invasive tool in diagnosis, before and at the time of surgery, as well as in follow-ups.
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| first_indexed | 2024-03-12T07:34:22Z |
| format | Article |
| id | doaj.art-a6f96be276224305801b28bcc19a115f |
| institution | Directory Open Access Journal |
| issn | 2617-2178 2617-2186 |
| language | English |
| last_indexed | 2024-03-12T07:34:22Z |
| publishDate | 2020-09-01 |
| publisher | Omar Al-Mukhtar University |
| record_format | Article |
| series | مجلة المختار للعلوم |
| spelling | doaj.art-a6f96be276224305801b28bcc19a115f2023-09-02T21:36:21ZengOmar Al-Mukhtar Universityمجلة المختار للعلوم2617-21782617-21862020-09-0135310.54172/mjsc.v35i3.252Outcomes of Total Surgical Correction for Tetralogy of Fallot in BenghaziMarium Mohamed Mustafa0Rasmyia H. Elfatory1Aziza I. Gadwar2Khadija imhemed elshreef 3Hagir M. Alshabi4Department of Pediatric, Faculty of Medicine, Benghazi University, Benghazi cardiac center, LibyaDepartment of Pediatric, Faculty of Medicine, Benghazi University, Benghazi cardiac center, LibyaDepartment of Pediatric, Faculty of Medicine, Benghazi University, Benghazi cardiac center, LibyaDepartment of Pediatric, Faculty of Medicine, Benghazi University, Benghazi cardiac center, LibyaDepartment of Pediatric, Faculty of Medicine, Benghazi University, Benghazi cardiac center, Libya Tetrology of Fallot (TOF) is the most common cyanotic congenital heart disease, accounting for 10% of all types of congenital heart disease. Despite decreased mortality rates by improvement in surgery and post-cardiac intensive care, there continues to be late postoperative complications. This study aimed to evaluate the outcomes after total repair of tetralogy of Fallot, including 44 children who underwent complete surgical repair between 2000 to 2018. Data were collected from medical records and directly from patients during their visit to the clinic, that included: history, clinical examination, gender, age at operation, results of ECG, Holter monitoring, echocardiography, cardiac catheterization, cardiac CT scan. Follow-up ranged from 6 months to18 years. Results revealed that the M/F ratio was 1.4:1. Also, two patients had a previous palliative systemic artery to PA shunt. A TAP was inserted in 22 (50%) patients. Postoperative complications were: severe PR 29%, small residual VSD 18.1%, and two patients had significant VSD which needed surgical intervention, residual RVOT 8.1%, RBBB 97.7%, There was three death (6.8%), and 36.3% of patients will need surgical intervention in the future. It was concluded that follow-ups up to adulthood to monitor potential complications are necessary. QRS duration is used for monitoring ventricular arrhythmia and sudden death. Echocardiography is a non-invasive tool in diagnosis, before and at the time of surgery, as well as in follow-ups. https://omu.edu.ly/journals/index.php/mjsc/article/view/252Tetralogy of FallotEscarpmentssurgeryBenghazi |
| spellingShingle | Marium Mohamed Mustafa Rasmyia H. Elfatory Aziza I. Gadwar Khadija imhemed elshreef Hagir M. Alshabi Outcomes of Total Surgical Correction for Tetralogy of Fallot in Benghazi مجلة المختار للعلوم Tetralogy of Fallot Escarpments surgery Benghazi |
| title | Outcomes of Total Surgical Correction for Tetralogy of Fallot in Benghazi |
| title_full | Outcomes of Total Surgical Correction for Tetralogy of Fallot in Benghazi |
| title_fullStr | Outcomes of Total Surgical Correction for Tetralogy of Fallot in Benghazi |
| title_full_unstemmed | Outcomes of Total Surgical Correction for Tetralogy of Fallot in Benghazi |
| title_short | Outcomes of Total Surgical Correction for Tetralogy of Fallot in Benghazi |
| title_sort | outcomes of total surgical correction for tetralogy of fallot in benghazi |
| topic | Tetralogy of Fallot Escarpments surgery Benghazi |
| url | https://omu.edu.ly/journals/index.php/mjsc/article/view/252 |
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