[Results of surgery in cyanogen congenital heart disease]

ABSTRACT

This study concerns 54 patients with cyanogen congenital heart disease operated by "Terre des Hommes" between 1976 and 1986. These cardiopathies are divided as following tetralogy of Fallot [37 cases], trilogy of Fallot [5 cases], double outlet of ventriculus dexter cordis [5 cases], transposition of great vessels [2 cases], tricuspid atresia [2 cases], complex cardiopathy [2 cases], single ventricle [1 case]. The surgical treatment has been only palliative in 10 cases, curative after a palliative anastomosis in 3 cases, and curative directly in 4l cases. 13 patients have undergone a palliative intervention of Blalock-Taussig in 10 cases, Blalock-Hanlon with banding of pulmonary artery in 1 case and Brock in 2 cases. During the corrective reparation, we practiced an infundibulotomy in 40 cases, a wideness of the pulmonary tract by patch in 21 cases, a pulmonary valvular commissurotomy in 10 cases, a direct shutdown of the interventricular septal defect in 5 cases, a shutdown of the interventricular septal defect by patch in 34 cases, a direct sutura of the lnteratrial septal defect in 9 cases, a shutdown of the foramen ins cases, and a shutdown of the anastomosis of Blalock-Taussing in 3 cases. We noticed only one precocious death and two tardive deaths. The post-operative results after an average recoil of 5 years and a ha lf according to criteria of Hazan show - a good result in 78% of the cases. - a mean result in 14% of the cases. - and a bad result in 8% of the cases