مقارنة نتائج الإصلاح الجراحي التام لرباعي فاللو و ذلك بإغلاق الفتحة بين البطينين عبر الأذينة اليمنى، و توسيع مخرج البطين الأيمن بشق صغير، مع الإصلاح التام عبر البطين الأيمن

Abstract EN

Background &Objective: the aim of this study was to compare the outcomes of repairof TOF "transatrial closure of VSD and enlargement of the RVOT with small incision"withtransventricle repair of TOF.

Methods & Materials: A pilot retrospective controlled clinical trial was conducted to infants with TOF undergoing primary repair between 2009 and 2013 in the surgical cardio-vascular center Damascus University.

One hundred patients were recruited in the trial and divided into a repair of TOF group (Group A; n = 50) and a transventricular approach group (Group B; n = 50), depending on the different surgical techniques used.

Results: Preoperative patient characteristics and procedure-related variables were similar.

There were one deaths in Group A, while six patients died in Group B.

There were significant differences in cardiopulmonary bypass time (132.02 ± 23.8 vs.

105.23 ± 22.63 minutes, p = 0.032), cross-clamp time (99.4 ± 10.36 vs.

73.17 ± 9.38 minutes, p = 0.035), inotropic support (1.63 ± 0.97 vs.

2.1 ± 1.09 days, p = 0.02), intubation time (5.62 ± 12.48 vs.

15.02 ± 17.55 hours, p = 0.033), duration of stay in the intensive care unit ICU (1.5 ± 1.28 vs.

3 ± 1.46 days, p = 0.026), and the incidence of arrhythmia [0 patients (0%) vs.

4 patients (8.%), p = 0.038].

Conclusion: repair of TOF "transatrial closure of VSD and enlargement of the RVOT with small incision"is associated with excellent surgical results and immediately follow-up.