Volume : 8, Issue : 3, March - 2019

A STUDY OF INTRACARDIAC REPAIR AND EFFECT OF TRANSANNULAR PATCHING ON RIGHT VENTRICULAR FUNCTION IN ADULT TETRALOGY OF FALLOT PATIENTS

Dr. R. Meenakshisundaram, Dr. Josephrajan, Dr. Shivanraj

Abstract :

This study is a hospital based retrospective and prospective analysis in a teaching hospitalAIMS AND OBJECTIVES 1.To study the efficacy of total correction in the adult TOF patients 2.To study the effect of repair on the right ventricular function 3.To study the clinical status of patients and analyse the hemodynamic data in the postoperative period.MATERIALS AND METHODS Our study is a five year followup study of adult Tetralogy of Fallot patients who underwent surgery between August 2006 and July 2012.76 patients underwent intracardiac repair with or without transannular patching in the Department of Cardiothoracic Surgery, Government General Hospital, Chennai. We made a prospective study between Jan2014 to Jan2019 to assess the outcome of surgical correction in the study population during the study period .We made an assessment of postoperative improvement of symptomatology and exercise tolerance. We made a periodic assessment of ventricular function and development of pulmonary regurgitation and residual pulmonary stenosis by echocardiography.CONCLUSIONS Transatrial repair is associated with a favorable outcome with lower mortality and morbidity. Patients have significant improvement in the quality of life and symptomatology.