The Findings of Long-Term Follow-up of Right Ventricular Outflow Tract Stenting versus Blalock Taussig (BT) Shunting after Total Correction Surgery of Tetralogy of Fallot

Document Type : Original Article (s)

Authors

1 Associate Professor, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Cardiovascular Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Professor, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

4 Assistant Professor, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

5 Student of Medicine, Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Tetralogy of Fallot (TOF) is the most common congenital cyanotic heart disease. The purpose of this study was to evaluate the efficacy of intraventional ventricular outflow tract stenting and insertion of surgical Gortex shunt in infants with less than 6 months of age before total correction surgery of these patients.Methods: In this cross-sectional prospective study, 24 patients with TOF who were less than 6 months of age, were not eligible for total correction surgery, and were admitted to Chamran Hospital affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, were studied. 12 patients with less than of 2 months of age were stented and 12 patients were shunted. After 3 to 6 months, all patients underwent complete surgery, and the results were compared.Findings: The length of intensive care unit (ICU) stay during the first procedure was shorter in stent group (1.41 ± 0.66 vs 2.83 ± 0.71 days, P = 0.001). Patients in stent group had less O2 saturation levels at the time of stent implantation compared to the shunt group (67.50 ± 2.02 vs 74.50 ± 3.98 percent, P = 0.001). There were no significant differences between the two groups after total correction in ICU (P = 0.881) and hospital stay times (P = 0.559). One patient from each groups died in the follow-up period.Conclusion: Stenting for the right ventricular outflow tract can be a better method in low-weight and young-age patients who are not good candidates for total correction; this method has fewer complications and hospital stay period.

Keywords

References

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Journal of Isfahan Medical School
Volume 38, Issue 574 - Serial Number 574
March and April 2020
Pages 296-302

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History

  • Receive Date: 07 December 2019
  • Revise Date: 05 May 2024
  • Accept Date: 06 April 2022

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