SURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDI

Objective: To compare trans-atrial/Trans-pulmonary and trans-annular/trans-ventricular techniques of surgical correction of tetralogy of fallot. Study Design: Descriptive cross sectional study. Place and Duration of Study: AFIC-NIHD Rawalpindi, from Jan 2005 to Jan 2020. Methodology: Pre-op...

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Autores principales:	Syed Shahid Nafees Zaidi, Inamullah Khan, Nausheen Bakht, Syeda Aliza Shahid, Khurram Akhtar, Hajira Akbar, Amjad Mahmood, Intisar Ul Haq, Nadeem Sadiq, Dawood Kamal, Hafsa Khalil
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	tetralogy of fallot trans-atrial/trans-pulmonary repair trans-annular patch/trans-venrticular repair total correction of tetralogy of fallot Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/961d749def3a49f2a5604d18414304cf
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spelling	oai:doaj.org-article:961d749def3a49f2a5604d18414304cf2021-12-02T19:11:55ZSURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDIdoi.org/10.51253/pafmj.v70iSuppl-4.60480030-96482411-8842https://doaj.org/article/961d749def3a49f2a5604d18414304cf2020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6048https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare trans-atrial/Trans-pulmonary and trans-annular/trans-ventricular techniques of surgical correction of tetralogy of fallot. Study Design: Descriptive cross sectional study. Place and Duration of Study: AFIC-NIHD Rawalpindi, from Jan 2005 to Jan 2020. Methodology: Pre-op variables included age, gender, weight, SaO2 and any previous operation (like Modified Blalock Taussig Shunt.) Operative variables were any previous Blalock Taussig Shunts and if present, then their takedown, Cardiopulmonary Bypass Time, Aortic Clamp Time, any Right Ventricle - Pulmonary Artery conduit, Main Pulmonary Artery patch-plasty, Left Pulmonary Artery/ Right Pulmonary Artery patch-plasty, dosage of inotropes and pacing started during weaning off CPB. Post-op variables were mechanical ventilation time (hrs), ventilation time >72 hrs, dosage and duration of inotropes, pacing >24 hrs, renal complications, neurological complications, sepsis, low cardiac output, re-ventilation, tachyarrythmias, any re-opening surgery, mean intensive care unit stay (hrs), overall hospital stay (days) and overall all-cause mortality. Results: A total of 1271 TOF patients were operated. In (38.6%) cases Trans-atrial / Trans-pulmonary approach was used while in 780 (61.3%) correction was done by TAP/TV technique. In both techniques, male patients were 365 (66.4%) vs. 73 (64.1%) females. Mean age was 5 ± 2.3 vs. 4 ± 2.5 years, MPA patch-plasty was 190 ± 5 (38.6%) vs. 780 ± 8 (100%) (p-0.058), RPA/LPA Patch Plasty was 25 ± 6 (5%) vs. 180 ± 10 (23%) (p- 0.025), In ICU, Ventilation hours was 25 ± 8 and 30 ± 12, Ventilation >72 Hrs was 15 (3%) vs. 65 (8.3%) (p-0.015), Inotrope duration >72 Hours was 90 (18.3%) vs. 400 (51.2%) (p-0.338), pacing >24 hours was 30 (6.1%) vs. 150 (19.2%) (p-0.0001), renal complications were 10 (2.3%) vs. 35 (4.4%) (p- 0.285), Neurological complications were 7 (1.4%) vs. 15 (1.9%) (p0.553), Sepsis was 11 (2.2%) vs. 47 (6%) (p-0.33), Low cardiac output was 15 (3%) vs. 66 (8.4%) (p- 1.000), re-ventilation was 10 (2%) vs. 110 (14%) (p- 0.41), Tachy-arrhythmia was 25 (5%) vs. 150 (19.2%) (p- 0.11), re-openings were 19 (3.8%) vs. 65 (8.3%) (p- 0.0003), ICU stay (Hours) was 87 ± 8 vs. 108 ± 10, Mortality was 35 (7.1%) vs. 75 (9.6%) (p-0.094), Mean hospital stay (Days) was 12.2 ± 2.5 vs. 15.8 ± 4.9. Conclusion: Fifteen years’ experience of Tetralogy of fallot corrections at AFIC-NIHD indicates that Trans-atrial / Trans-pulmonary approach is more beneficial to patients due to high survival rate, less morbidity, less hospital stay and an early discharge. This ultimately translates into less financial burden on the patients, hospital, society and the country at large.Syed Shahid Nafees ZaidiInamullah KhanNausheen BakhtSyeda Aliza ShahidKhurram AkhtarHajira AkbarAmjad MahmoodIntisar Ul HaqNadeem SadiqDawood KamalHafsa KhalilArmy Medical College Rawalpindiarticletetralogy of fallottrans-atrial/trans-pulmonary repairtrans-annular patch/trans-venrticular repairtotal correction of tetralogy of fallotMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 881-886 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	tetralogy of fallot trans-atrial/trans-pulmonary repair trans-annular patch/trans-venrticular repair total correction of tetralogy of fallot Medicine R Medicine (General) R5-920
spellingShingle	tetralogy of fallot trans-atrial/trans-pulmonary repair trans-annular patch/trans-venrticular repair total correction of tetralogy of fallot Medicine R Medicine (General) R5-920 Syed Shahid Nafees Zaidi Inamullah Khan Nausheen Bakht Syeda Aliza Shahid Khurram Akhtar Hajira Akbar Amjad Mahmood Intisar Ul Haq Nadeem Sadiq Dawood Kamal Hafsa Khalil SURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDI
description	Objective: To compare trans-atrial/Trans-pulmonary and trans-annular/trans-ventricular techniques of surgical correction of tetralogy of fallot. Study Design: Descriptive cross sectional study. Place and Duration of Study: AFIC-NIHD Rawalpindi, from Jan 2005 to Jan 2020. Methodology: Pre-op variables included age, gender, weight, SaO2 and any previous operation (like Modified Blalock Taussig Shunt.) Operative variables were any previous Blalock Taussig Shunts and if present, then their takedown, Cardiopulmonary Bypass Time, Aortic Clamp Time, any Right Ventricle - Pulmonary Artery conduit, Main Pulmonary Artery patch-plasty, Left Pulmonary Artery/ Right Pulmonary Artery patch-plasty, dosage of inotropes and pacing started during weaning off CPB. Post-op variables were mechanical ventilation time (hrs), ventilation time >72 hrs, dosage and duration of inotropes, pacing >24 hrs, renal complications, neurological complications, sepsis, low cardiac output, re-ventilation, tachyarrythmias, any re-opening surgery, mean intensive care unit stay (hrs), overall hospital stay (days) and overall all-cause mortality. Results: A total of 1271 TOF patients were operated. In (38.6%) cases Trans-atrial / Trans-pulmonary approach was used while in 780 (61.3%) correction was done by TAP/TV technique. In both techniques, male patients were 365 (66.4%) vs. 73 (64.1%) females. Mean age was 5 ± 2.3 vs. 4 ± 2.5 years, MPA patch-plasty was 190 ± 5 (38.6%) vs. 780 ± 8 (100%) (p-0.058), RPA/LPA Patch Plasty was 25 ± 6 (5%) vs. 180 ± 10 (23%) (p- 0.025), In ICU, Ventilation hours was 25 ± 8 and 30 ± 12, Ventilation >72 Hrs was 15 (3%) vs. 65 (8.3%) (p-0.015), Inotrope duration >72 Hours was 90 (18.3%) vs. 400 (51.2%) (p-0.338), pacing >24 hours was 30 (6.1%) vs. 150 (19.2%) (p-0.0001), renal complications were 10 (2.3%) vs. 35 (4.4%) (p- 0.285), Neurological complications were 7 (1.4%) vs. 15 (1.9%) (p0.553), Sepsis was 11 (2.2%) vs. 47 (6%) (p-0.33), Low cardiac output was 15 (3%) vs. 66 (8.4%) (p- 1.000), re-ventilation was 10 (2%) vs. 110 (14%) (p- 0.41), Tachy-arrhythmia was 25 (5%) vs. 150 (19.2%) (p- 0.11), re-openings were 19 (3.8%) vs. 65 (8.3%) (p- 0.0003), ICU stay (Hours) was 87 ± 8 vs. 108 ± 10, Mortality was 35 (7.1%) vs. 75 (9.6%) (p-0.094), Mean hospital stay (Days) was 12.2 ± 2.5 vs. 15.8 ± 4.9. Conclusion: Fifteen years’ experience of Tetralogy of fallot corrections at AFIC-NIHD indicates that Trans-atrial / Trans-pulmonary approach is more beneficial to patients due to high survival rate, less morbidity, less hospital stay and an early discharge. This ultimately translates into less financial burden on the patients, hospital, society and the country at large.
format	article
author	Syed Shahid Nafees Zaidi Inamullah Khan Nausheen Bakht Syeda Aliza Shahid Khurram Akhtar Hajira Akbar Amjad Mahmood Intisar Ul Haq Nadeem Sadiq Dawood Kamal Hafsa Khalil
author_facet	Syed Shahid Nafees Zaidi Inamullah Khan Nausheen Bakht Syeda Aliza Shahid Khurram Akhtar Hajira Akbar Amjad Mahmood Intisar Ul Haq Nadeem Sadiq Dawood Kamal Hafsa Khalil
author_sort	Syed Shahid Nafees Zaidi
title	SURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDI
title_short	SURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDI
title_full	SURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDI
title_fullStr	SURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDI
title_full_unstemmed	SURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDI
title_sort	surgery of tetralogy of fallot-15 year experience at afic-nihd rawalpindi
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/961d749def3a49f2a5604d18414304cf
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SURGERY OF TETRALOGY OF FALLOT-15 YEAR EXPERIENCE AT AFIC-NIHD RAWALPINDI

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