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![]() NAGHITA, Varvara, CHEPTANARU, Eduard, MANIUC, Liviu, REPIN, Oleg, CORCEA, Vasile, GUZGAN, Iurie, CIUBOTARU, Anatol. Early results of surgical treatment in tetralogy of Fallot. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 414. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | |||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | |||||||
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Pag. 414-414 | |||||||
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Rezumat | |||||||
Background. The Tetralogy of Fallot (TF) has an average prevalence of 1 in 3,000 live births worldwide. The right choice of surgical management and timely intervention are crucial in the survival, rehabilitation and quality of life of the patient. Objective of the study. Establishing the basic criteria for deciding the correct surgical management. Comparing the evolution of patients in palliative surgical tactics versus radical correction. Material and Methods. Retrospective study that includes 114 patients, between 2015 - 2020, divided by age into 4 groups: newborns, infants, children, adults; investigated by Echo, CTA and cardiac catheterization. Palliative and radical correction surgeries were used as treatment. Results. The group of newborns presented 5% from all patients, infants - 50%, children - 40%, adults - 5%. Ratio B: F = 2: 1. The following anatomical - morphological forms were determined: 77% TF with pulmonary stenosis, 16% TF with VDCDE type, 4% TF with AP atresia, 3% TF with AP valve agenesis. In 53% of cases, palliative surgical treatment was performed, with a prevalence in newborns and infants, in 47% of cases - primary radical correction, with a prevalence in the group of children and adults. Early postoperative complications after the palliative surgery were in 36%. After the radical correction, early postoperative complications occurred in 52%. Survival - 93%. Conclusion. The morphological shape and hemodynamic of the patient are decisive criteria for choosing the surgical tactic. Palliative treatment is a safe one, sometimes the only chance of survival of patients with TF, and the radical correction allows the definitive restoration of the anatomy of the heart. |
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Cuvinte-cheie tetralogy of Fallot, radical correction, palliative surgery, Tetralogie Fallot, corecție radicală, intervenții paliative |
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