ABSTRACT
Results of radical correction of the Fallot tetrade after reconstruction of outflow tracts from the right ventricle (RV) without plastic surgery on the interventricular septum defect were evaluated in 25 patients aged 5-30 (mean 12.3 +/- 3.8) years in the late postoperative period (1-10, mean 6.5 years). Clinical condition of the patients on the moment of examination was satisfactory, they had no complaints. 14 (56%) patients needed second operation within 2.9 +/- 1.9 (mean) years after primary surgery. It significantly increased the number of patients referred to 1-2 functional classes NYHA (from 56 to 60% and from 28 to 32% respectively). The number of patients of functional class 3 decreased from 12 to 8%). The were no FC-4 patients. Survival rate estimated by the actuarial method was 92% by year 9 postoperatively. 84, 76, 72, 60, and 56% of the patients did not need second operation 1, 2-3, 4, 7, and 9 years respectively after primary surgery due to adequate care in the early postoperative period, timely diagnosis of complications, and their rapid management. It is concluded that radical correction of Fallot's tetrade after reconstruction of outflow tracts has good or satisfactory outcome in 92% of the patients.
