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Cited by 2Congenital Heart Disease StudiesCongenital heart defects researchCardiac Structural Anomalies and Repair

Transatrial-transpulmonary correction of tetralogy of Fallot: experience of a developing country

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Souaga, Kouassi, Bonny, Rebecca, Katche, Eric, KiriouaKamenan, Aime, Amani, Anderson, Degré, Jean, Niava, Randolph, Kouamé, Joseph +2 more·2022·Polish Journal of Cardio-Thoracic Surgery
DOI 10.5114/kitp.2022.119760PMC PMC9574585
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Abstract

Introduction: Right ventricular dysfunction is a cause of morbidity and mortality after surgical correction of tetralogy of Fallot. The transatrial-transpulmonary approach allows preservation of right ventricular function. Aim: To report the immediate and long-term results of surgical treatment of tetralogy of Fallot using the transatrial-transpulmonary approach. Material and methods: This is a retrospective study including cases of tetralogy of Fallot operated on by the transatrial-transpulmonary approach between April 2009 and October 2010 in our institution. Results: There were 19 patients including 10 girls and 9 boys with a mean age of 7.4 years (extremes: 3 and 19 years). All our patients benefited from closure of the ventricular septal defect by a right atrial approach and enlargement of the pulmonary pathway. In the immediate postoperative period, the pressure gradient between the pulmonary artery and the right ventricle was 18.77 mm Hg. We had 2 deaths (10.5%). Complications were dominated by conduction disorders (100%) such as right bundle branch block and pleuropulmonary complications (41.20%). After a mean follow-up of 11.43 ±0.81 years, no patient died and all were asymptomatic, without significant residual lesion. Conclusions: Complete cure of tetralogy of Fallot by the transatrial-transpulmonary route is associated with low morbidity and mortality in our experience. The long-term results are satisfactory.

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  • Patients from LMICs exhibit a higher number of symptoms due to prolonged hypoxic exposure.

    “Patients from LMICs exhibited a higher number of symptoms due to prolonged hypoxic exposure.”

    From Tetralogy of Fallot in Low- and Middle-Income Countries (2024) · cites this paper as [23]

    The preoperative characteristics table (Material and methods; page unavailable) documents several symptoms, including dyspnea, digital clubbing and cyanosis, among 19 patients treated in a developing country. The paper does not compare their symptom burden with patients elsewhere or establish that prolonged hypoxic exposure caused a higher number of symptoms. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

  • More than half of patients with tetralogy of Fallot in LMICs experience dyspnea, syncope, chest pain, and seizures.

    “Indeed, more than half of the patients experienced dyspnea, syncope, chest pain, and seizures.12,13,17, 21, 22, 23”

    From Tetralogy of Fallot in Low- and Middle-Income Countries (2024) · cites this paper as [23]

    Table I (Material and methods; page not supplied) reports dyspnea of effort in 11 of 19 patients (57.9%), supporting the ‘more than half’ figure for this study’s patients. It does not report syncope, chest pain, or seizures, and this single-country surgical cohort does not establish the prevalence of those symptoms across LMICs. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 23

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Cited by

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Authors
Souaga, K., Bonny, R., Katche, E., KiriouaKamenan, A., Amani, A., Degré, J., Niava, R., Kouamé, J., Yapo, P., & Kendja, F.
Corresponding author
Souaga, Kouassi
Venue
Polish Journal of Cardio-Thoracic Surgery
Publisher
Termedia Sp. z.o.o.
Published
2022
Volume
19
Issue
3
Pages
130-134
ISSN
1731-5530 (ISSN-L)
DOI
10.5114/kitp.2022.119760
PMC
PMC9574585
OpenAlex
W4307033396
Cited by
2
References
1
Citations by year
2023: 1 · 2022: 1
FWCI
0.36
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Polish Journal of Cardio-Thoracic Surgery (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Congenital Heart Disease Studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
  • Health Sciences › Medicine › Surgery › Cardiac Structural Anomalies and Repair
Keywords
tetralogy of Fallot, right ventricular dysfunction, ventricular septal defect closure, right atrial approach, pulmonary artery dilation, right bundle branch block, conduction disorders, postoperative complications, long-term outcomes, pediatric cardiac surgery

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