Low risk of pulmonary valve implantation after a policy of transatrial repair of tetralogy of fallot delayed beyond the neonatal period: The Melbourne experience over 25 years

Abstract

Objectives The study sought to evaluate the late outcomes of a policy of transatrial repair delayed beyond the neonatal period. Background Long-term outcomes of transatrial repair of tetralogy of Fallot are unknown. Methods The records of 675 consecutive patients undergoing a transatrial repair of tetralogy of Fallot between 1980 and 2005 were reviewed, their follow-up updated and survival confirmed from national death registries. One-third (220 of 675) had undergone previous palliation. Median age at repair was 2 years in the first 8 years, and 1 year from 1988 onward. A transannular incision was performed in 75% of cases and autologous pericardium was the material used to patch this incisi..