Primary Results of Late Surgical Treatment in Children with Tetralogy of Fallot from a Developing Country  

作　　者：M. Hofbeck D. A. Affangla A. Hanser L. Sieverding G. Wiegand R. Kaulitz M. Kumpf M. Moustafi F. Neunhoeffer C. Schlensak G. A. Bazolo Ba Ngouala D. M. Ba I. Basse M. Leye 

机构地区：[1]Department of Pediatric Cardiology, University Hospital of Tübingen, Tübingen, Germany [2]Faculty of Medicine, University of Thiès, Thiès, Senegal [3]Department of Thoracic and Cardiovascular Surgery, University Hospital of Tübingen, Tübingen, Germany [4]Louga Regional Hospital, Louga, Senegal

出　　处：《World Journal of Cardiovascular Diseases》2019年第8期538-544,共7页心血管病（英文）

摘　　要：Objectives: The purpose was to show how important is to operate on the Senegalese African children presenting with Tetralogy of Fallot (TOF) regardless of their age. Methods: It is a retrospective, descriptive analysis of data from the Department of Pediatric Cardiology, University Hospital of Tuebingen’s data base which was searched for all cases of TOF in foreign patients younger than 15 years between 05/2004-10/2016. Results: 16 children from Senegal with TOF were referred for treatment. Mean age of patients was 7.0 years (range 0.9 - 14.8 years). Primary corrective surgery was performed in 13/16 patients. A primary shunt procedure was required in 3/16 patients. All patients were discharged in good condition with a median 13 postoperative days. We did not register any deaths. All became asymptomatic with pulse oximetry oxygen saturations greater than 95%. The right ventricular outflow tract (RVOT) gradient was less than 30 mmHg in all patients and 2 patients had moderate pulmonary valvular insufficiency. Conclusions: It was still necessary to operate Senegalese children presenting with TOF irrespective of their age.Objectives: The purpose was to show how important is to operate on the Senegalese African children presenting with Tetralogy of Fallot (TOF) regardless of their age. Methods: It is a retrospective, descriptive analysis of data from the Department of Pediatric Cardiology, University Hospital of Tuebingen’s data base which was searched for all cases of TOF in foreign patients younger than 15 years between 05/2004-10/2016. Results: 16 children from Senegal with TOF were referred for treatment. Mean age of patients was 7.0 years (range 0.9 - 14.8 years). Primary corrective surgery was performed in 13/16 patients. A primary shunt procedure was required in 3/16 patients. All patients were discharged in good condition with a median 13 postoperative days. We did not register any deaths. All became asymptomatic with pulse oximetry oxygen saturations greater than 95%. The right ventricular outflow tract (RVOT) gradient was less than 30 mmHg in all patients and 2 patients had moderate pulmonary valvular insufficiency. Conclusions: It was still necessary to operate Senegalese children presenting with TOF irrespective of their age.

关 键 词：Tetralogy of Fallot LATE REPAIR Developing COUNTRY Non-Governmental NON-PROFIT ORGANIZATION 

分 类 号：R73[医药卫生—肿瘤]