Which is the ideal age to take place the correction of tetralogy of Fallot?

  • Dr Beatriz Furlanetto, Instituto Furlanetto, Brazil
  • Dr Sandra Henriques, Instituto Furlanetto, Brazil
  • Dr Patricia Medeiros, Instituto Furlanetto, Brazil
  • Dr Grace Bichara, Instituto Furlanetto., Brazil
  • Dr Lilian Lopes, Instituto Furlanetto, Brazil
  • Dr Salvador Cristovão, Instituto Furlanetto, Brazil
  • Dr Carlos Kapins, Instituto Furlanetto, Brazil
  • Dr Gláucio Furlanetto, Instituto Furlanetto, Brazil

    • OBJETIVE: Compare the immediate results of children who underwent correction of TF in different age groups.

    METHODS: Between January 1995 and September 2008, 332 children with tetralogy of Fallot were submitted to surgical correction. They were contained according to the age in 3 groups: Group A = age > 1 year; Group B = 4 months
    RESULTS: Group A: N = 197, mortality N = 7 (3,5%), phase1 (5%), phase2 (2%), APC N = 61 (30,9%). Group B: N = 88, mortality N = 3 (3,4%), phase1 (6,8%), phase2 (0%), APC N = 19 (21,5%); Group C: N = 47 (neonates N = 23 (48,9%), mortality N = 4 (8,5%), phase1 (6,8%), phase2 (0%), APC N = 5 (10,6%). The general hospital mortality was 4,2%, phase1 = 7,1% (N inicial=166) and phase2 = 1,2% (N final = 166). There was not statistical difference in the hospital mortality among the groups B and C (p=0,312). There was not difference in the accomplishment of APC among the groups A and B (p=0,150), but there was difference between groups A and B with C (p=0,011).

    CONCLUSION: The correction of tetralogy of Fallot can be accomplished in precocious age, besides in the neonatal period, without difference in the mortality, with larger atriopulmonary correction in age superior to 4 months.