Reoperation for XXXX after total correction of tetralogy of Fallot.

@entity1 @entity1887 @entity997
BACKGROUND: The aim of this study is to review the outcome of reoperation for severe @entity997 after repair of tetralogy of Fallot. METHODS: Between 1972 and 2000, 12 @entity1 underwent reoperation on the tricuspid valve after total correction of tetralogy of Fallot. The mean age at the time of reoperation was 17 years (range, 1 to 39 years). The mean interval between the initial correction and the reoperation was 7.8 years (range, 10 days to 19 years). The functional class was New York Heart Association class II in 2 @entity1 and class III or IV in 10. Six @entity1 underwent tricuspid valve repair, and the others underwent tricuspid valve replacement. RESULTS: Hospital mortality was 16.7% (2/12). Three @entity1 (30%, 3/10) required a second reoperation 1.6, 9.2, and 15.6 years after the most recent reoperation with no deaths. The reasons for second reoperation were failure of the tricuspid valve repair in two and a thrombosed valve in one. There were two late deaths. Mean overall event-free actuarial survival at 10 years was 46.3%. CONCLUSION: Reoperation for severe @entity997 after total correction of tetralogy of Fallot was associated with a high operative mortality and disappointing long-term results. @entity997 after corrective surgery for tetralogy of Fallot must be diagnosed promptly and cured, as tolerance is poor because of postoperative @entity1887 .
