TITLE:
Primary Results of Late Surgical Treatment in Children with Tetralogy of Fallot from a Developing Country
AUTHORS:
M. Hofbeck, D. A. Affangla, A. Hanser, L. Sieverding, G. Wiegand, R. Kaulitz, M. Kumpf, M. Moustafi, F. Neunhoeffer, C. Schlensak, G. A. Bazolo Ba Ngouala, D. M. Ba, I. Basse, M. Leye
KEYWORDS:
Tetralogy of Fallot, Late Repair, Developing Country, Non-Governmental Non-Profit Organization
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.9 No.8,
August
13,
2019
ABSTRACT: Objectives: The purpose was to show how important is to operate on the Senegalese African children
presenting with Tetralogy of Fallot (TOF) regardless of their age. Methods: It is a retrospective,
descriptive analysis of data from the Department of
Pediatric Cardiology, University Hospital of Tuebingen’s data base which was searched for all cases of TOF in foreign patients younger
than 15 years between 05/2004-10/2016. Results: 16 children from Senegal with TOF were referred for treatment. Mean age of patients was 7.0 years (range 0.9 - 14.8 years). Primary
corrective surgery was performed in 13/16 patients.
A primary shunt procedure was required in 3/16 patients. All patients were discharged in good condition
with a median 13 postoperative days. We did not register
any deaths. All became asymptomatic with pulse oximetry oxygen saturations
greater than 95%. The right ventricular outflow tract (RVOT) gradient was less
than 30 mmHg in all patients and 2 patients had moderate pulmonary valvular insufficiency. Conclusions: It was
still necessary to operate Senegalese children presenting with TOF irrespective
of their age.