Article Text

ASSA13-15-20 Transcatheter Closure of Residual Fistula After Repair of Tetralogy of Fallot
  1. Ying-Zhang Cheng,
  2. Tao Li,
  3. Yun-De Li,
  4. Lu Yang,
  5. Gan Wang,
  6. Qing-Hua Wu,
  7. Xiao-Shu Cheng
  1. 1Department of Cardiology, The Second Affiliated Hospital of Nanchang University, Nanchang, China


Objective To summarise the experience in transcatheter closure of residual fistula after surgery repair of tetralogy of Fallot (TOF).

Methods Between January 2010 and November 2012, transcatheter closure was attempted on 9(5 male, 4 female) patients, with residual membrane ventricular septal fistula following surgery repair of TOF. The mean age of patients was 15.68 ± 5.20 years (rage from 4 to 36).

Results 9 patients, diagnosed with TOF, underwent surgery repair. In two cases, the diameter of residual fistula was 6mm and 5mm measured by echocardiography after 1month’s follow-up. 3 cases were found with systolic murmurs at 1 and 2-year follow-up respectively, with the size of fistula 7, 6.9mm and 8, 7.8mm. Another 1 case suffered from dyspnea 10 years after surgery, with a fistula of10mm. Complete closure of the defect was obtained in 7 cases (77.78%), except that 2 patients required reoperation because of multiple outlet showed by left ventriculography. 5 cases were implanted with domestic symmetric VSD occluder (1 with 2 occluders), the other 1case with thin-waist-big-side occluder and another 1 with patent ductus arteriosus (PDA) occluder. No patient had obvious complications related.

Conclusions Ttranscatheter closure of residual fistula after surgery repair of TOF is effective and safe. Domestic VSD occluder and PDA occluder are applicable. It is important to prevent intraoperative injuries of muscle girder and chordae tendineae blocked by track wire and sheath.

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