Short-Term Outcome of Tetralogy of Fallot Repair: A Single Center Experience    in A Developing Country

Authors

  • Aliya Kemal Ahsan Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Rumana Sangi Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Abdul Sattar Shaikh Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Rajab Ali Khokhar Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Mujeeb ur Rehman Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Sohail Khan Bangash Department of Cardiothoracic Surgery, National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Saad Bader Zaki Department of Pediatric Cardiac Surgery, National Institute of Cardiovascular Diseases, Karachi Pakistan
  • Najma Patel Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i3.8796

Keywords:

Aorta, Mortality, Tetralogy of fallot

Abstract

Objective: To note short-term outcome of patients undergoing tetralogy of fallot repair.

Study Design: Retrospective longitudinal study.

Place and Duration of Study: Department of Pediatric Cardiology, National Institute of Cardiovascular Disease, Karachi Pakistan, from Sep 2020 to Feb 2021.

Methodology: A total of 113 patients under 25 years of age who underwent tetralogy of fallot correction were included. Pre-operative information, echocardiography, investigations and history of the patient were noted. Intra-operative and post-operative information and surgical procedure were also noted. Short-term outcome included data up to discharge or death of the patients enrolled.

Results: Mean age was noted to be 9.40+5.01 years, with 59(52.2%) of the patients undergoing tetralogy of fallot repair were male. Mean saturation of peripheral Oxygen (SpO2) at the time of surgery was noted to be 79.27±.34. There were 76(67.3%) patients without history of previous surgery. Mean cardiopulmonary bypass time was noted to be 106.04±40.59 minutes. Mean aortic cross-clamp time was recorded to be 58.79±27.90 minutes. Additional procedures were required in 68(60.2%) patients. Mean duration of hospital stay was 13.96±8.68 days while mean duration of ICU stay was 87.04±69.37 hours. Mortality was reported in 3(2.7%) patients.

Conclusion: Low mortality and low post-operative morbidity were noted among patients undergoing tetralogy of fallot repair.

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Author Biographies

  • Rumana Sangi, Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan

    Fellow Pediatric Cardiology, Department of Pediatric Cardiology, NICVD, Karachi

  • Abdul Sattar Shaikh, Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan

    Associate Professor, Department of Pediatric Cardiology, NICVD, Karachi

  • Mujeeb ur Rehman, Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan

    Fellow Pediatric Cardiology, Department of Pediatric Cardiology, NICVD, Karachi

  • Sohail Khan Bangash, Department of Cardiothoracic Surgery, National Institute of Cardiovascular Diseases, Karachi Pakistan

    Professor, Department of Cardiothoracic Surgery, NICVD, Karachi

  • Saad Bader Zaki, Department of Pediatric Cardiac Surgery, National Institute of Cardiovascular Diseases, Karachi Pakistan

    Associate Professor, Department of Cardiothoracic Surgery, NICVD, Karachi

  • Najma Patel, Department of Pediatric Cardiology, National Institute of Cardiovascular Diseases, Karachi Pakistan

    Professor, Department of Pediatric Cardiology, NICVD, Karachi

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Published

28-06-2024

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Original Articles

How to Cite

1.
Ahsan AK, Sangi R, Shaikh AS, Khokhar RA, Rehman M ur, Bangash SK, et al. Short-Term Outcome of Tetralogy of Fallot Repair: A Single Center Experience    in A Developing Country. Pak Armed Forces Med J [Internet]. 2024 Jun. 28 [cited 2024 Nov. 24];74(3):767-70. Available from: https://pafmj.org/PAFMJ/article/view/8796