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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
25
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pubmed:dateCreated |
1992-8-6
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pubmed:abstractText |
From 1987 to 1990, 37 children underwent surgical correction for tetralogy of Fallot. The mean age was 38.2 months (2-156 months). The indication for right ventricular outflow tract (RVOT) obstruction in 19/37 (51%) children was: hypoplastic pulmonary valve (n = 10), annular hypoplasia (n = 12), RVOT obstruction and hypoplastic pulmonary artery (n = 10). In 18/37 (49%) children, the repair of the RVOT was done without homograft. The RVOT morphology was the only indication for reconstruction with homograft. All other pre-, intra- and postoperative data were identical for both groups. There was no operative or late death. After a mean follow-up of 4.4 months, all 19 children with homograft were in NYHA class I and echocardiographic evaluation showed mild and moderate pulmonary regurgitation in 8 and 4 children respectively. Out of the 18 children without homograft, 16 were in NYHA class I and 2 in NYHA class II. Two children had early postoperative right heart failure. The mean follow-up time in this group was 5.5 months. Echocardiography revealed residual pulmonary regurgitation in 4 children, pulmonary stenosis in 6 and combined residual pulmonary valve defect in 6. If severe malformation of the RVOT or the pulmonary artery is present, a valved homograft is recommended for repair of tetralogy of Fallot. Good morphological and functional results may be achieved.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0036-7672
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
20
|
pubmed:volume |
122
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
975-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1621080-Adolescent,
pubmed-meshheading:1621080-Child,
pubmed-meshheading:1621080-Child, Preschool,
pubmed-meshheading:1621080-Echocardiography,
pubmed-meshheading:1621080-Female,
pubmed-meshheading:1621080-Heart Valve Prosthesis,
pubmed-meshheading:1621080-Humans,
pubmed-meshheading:1621080-Infant,
pubmed-meshheading:1621080-Male,
pubmed-meshheading:1621080-Pulmonary Valve,
pubmed-meshheading:1621080-Pulmonary Valve Insufficiency,
pubmed-meshheading:1621080-Tetralogy of Fallot,
pubmed-meshheading:1621080-Transplantation, Homologous,
pubmed-meshheading:1621080-Ventricular Outflow Obstruction
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pubmed:year |
1992
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pubmed:articleTitle |
[Single cusp homograft implantation in the reconstruction of right ventricular outflow tract in the correction of tetralogy of Fallot].
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pubmed:affiliation |
Klinik für Herz- und Gefässchirurgie, Universitätsspital Zürich.
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pubmed:publicationType |
Journal Article,
English Abstract
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