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[Systemic-pulmonary fistula. Percentage of children attaining corrective surgery].

Authors :
Fortuny R
Villagrá F
Pérez de León J
Gómez R
López Checa S
Sánchez PA
Casillas JA
Campillo A
Herraiz JI
Brito JM
Source :
Anales espanoles de pediatria [An Esp Pediatr] 1987 Jan; Vol. 26 (1), pp. 22-6.
Publication Year :
1987

Abstract

Because of the lack of information on definitive long term results of the systemic pulmonary fistulae (SPF) we decided to review our experience. From 1978/1980, SPF was carried out on 91 children with a minimal follow-up period of 53 months, 80 (88%) survive the immediate postoperative period, 65 (71%) the late period, although only 48 (53%) reached corrective surgery. 14 (50%) of the 28 newborn children died and only 9 (32%) had corrective surgery. 12 (19%) of the 63 children of two months or older died and 39 (62 por 100) had definitive surgery. 72% with Fallot syndrome, 58% with TGA and pulmonary stenosis and less than 40% of other pathologies also reached definitive corrective surgery. Frequently the SPF is the only alternative to achieve total correction although there may be a high mortality and morbidity rate. The age (newborn children) and the complex pathology are unfavourable in the end results.

Details

Language :
Spanish; Castilian
ISSN :
0302-4342
Volume :
26
Issue :
1
Database :
MEDLINE
Journal :
Anales espanoles de pediatria
Publication Type :
Academic Journal
Accession number :
3826938