Abstract 18747: Young Infants With Severe Tetralogy of Fallot: Early Primary Surgery versus Trans-catheter Palliation

• Published in: Circulation (New York, N.Y.) N.Y.), 2015-11, Vol.132 (Suppl_3 Suppl 3), p.A18747-A18747
• Main Authors: Wilder, Travis J, Van Arsdell, Glen S, Benson, Lee, Duong, An, Pham-Hung, Eric, Gritti, Michael, Page, Alexandra, Caldarone, Christopher A, Hickey, Edward J
• Format: Article
• Language: English
• ISSN: 0009-7322; 1524-4539
• DOI: 10.1161/circ.132.suppl_3.18747

IntroductionInfants with severe tetralogy of Fallot (TOF) may undergo1) early primary surgical repair (EARLY) or 2) early catheter palliation (CATH) prior to delayed surgical repair. We compared these two strategies to 3) usual elective single stage TOF repair (USUAL).MethodsWe studied 453 TOF repairs (2000-2012, excluding BT shunts). USUAL strategy at our institution is repair ≥3 months. Risk adjusted hazard analysis compared freedom from surgical or catheter reintervention. Somatic size, branch PA size and RV systolic pressure were modeled using 2543 echo reports via mixed model regression.ResultsTablegroup characteristics for USUAL (383), EARLY (42) and CATH (28). CATH involvedRVOT stent=18, RVOT balloon=9, ductal stent=1.Risk adjusted freedom from surgical reoperation was 88%, 87% and 85% for USUAL, EARLY and CATH respectively, at 10 years. EARLY and CATH had similar reoperation rates, except for very young children (