{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T15:38:57Z","timestamp":1785598737891,"version":"3.56.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2010,5,11]],"date-time":"2010-05-11T00:00:00Z","timestamp":1273536000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2010,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1047951110000442_abs1\" sec-type=\"general\">\n\t    <jats:title>Objective<\/jats:title>\n\t    <jats:p>Correction of tetralogy of Fallot has excellent long-term results. The present retrospective study investigates the indications for reoperation late after corrective surgery.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951110000442_abs2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>Data from 914 consecutive cases who underwent correction of tetralogy of Fallot in our department between 1960 and 2002 were retrospectively reviewed and analysed. In 91 patients, a total of 102 reoperations were performed late after repair.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951110000442_abs3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>The mean time interval between corrective surgery and the first reoperation was 12.8 years. The main indication for reoperation was residual ventricular septal defect in nearly half of the cases, mostly isolated, but also in combination with a right ventricular outflow tract aneurysm or pulmonary stenosis. One-fourth of reoperated patients underwent a procedure on their pulmonary artery or pulmonary valve: replacement of pulmonary valve, replacement of primary implanted pulmonary artery conduits with or without concomitant surgery, and surgery for isolated peripheral pulmonary stenosis. The remaining indications were right ventricular outflow tract aneurysms and others. Aneurysms of the right ventricular outflow tract were seen mostly after the use of autologous \u2013 untreated \u2013 pericardial patch in 18 of 21 cases.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1047951110000442_abs4\" sec-type=\"conclusion\">\n\t    <jats:title>Conclusion<\/jats:title>\n\t    <jats:p>The number of reoperations for residual ventricular septal defect decreased during the study period. The primary use of conduits led to an increased number of reoperations for conduit exchange due to degeneration or failure. Use of an untreated autologous pericardial patch for enlargement of the right ventricular outflow tract should be avoided due to increased risk for aneurysm formation.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1047951110000442","type":"journal-article","created":{"date-parts":[[2010,5,11]],"date-time":"2010-05-11T09:29:37Z","timestamp":1273570177000},"page":"396-401","source":"Crossref","is-referenced-by-count":28,"title":["Indications for reoperation late after correction of tetralogy of Fallot"],"prefix":"10.1017","volume":"20","author":[{"given":"Theodor","family":"Tirilomis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Friedrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter","family":"Zenker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf G.","family":"Seipelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedrich A.","family":"Schoendube","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Ruschewski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2010,5,11]]},"reference":[{"key":"S1047951110000442_manual_ref-9","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(99)00137-2"},{"key":"S1047951110000442_manual_ref-2","first-page":"201","article-title":"Intracardiac surgery with the aid of a mechanical pump-oxygenator system (Gibbon type): report of eight cases","volume":"30","author":"Kirklin","year":"1955","journal-title":"Proc Staff Meet Mayo Clin"},{"key":"S1047951110000442_manual_ref-4","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198610000-00017"},{"key":"S1047951110000442_manual_ref-11","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1055\/s-2004-817798","article-title":"Late pulmonary replacemnt after correction of Fallot\u2019s tetralogy","volume":"52","author":"Cesnjevar","year":"2004","journal-title":"Thorac Cardiovasc Surg"},{"key":"S1047951110000442_manual_ref-12","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(98)70407-6"},{"key":"S1047951110000442_manual_ref-13","first-page":"II77","article-title":"Long-term follow-up of patients with synthetic right heart conduits","volume":"72","author":"Jonas","year":"1985","journal-title":"Circulation"},{"key":"S1047951110000442_manual_ref-14","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70479-4"},{"key":"S1047951110000442_manual_ref-10","doi-asserted-by":"publisher","DOI":"10.1161\/circ.102.suppl_3.III-116"},{"key":"S1047951110000442_manual_ref-1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(78)90941-4"},{"key":"S1047951110000442_manual_ref-5","doi-asserted-by":"publisher","DOI":"10.1017\/S104795110200077X"},{"key":"S1047951110000442_manual_ref-6","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-19013"},{"key":"S1047951110000442_manual_ref-7","first-page":"III206","article-title":"Repair of tetralogy of Fallot in infancy: effect of pulmonary artery size on outcome","volume":"84","author":"Groh","year":"1991","journal-title":"Circulation"},{"key":"S1047951110000442_manual_ref-8","doi-asserted-by":"publisher","DOI":"10.1161\/circ.100.suppl_2.Ii-157"},{"key":"S1047951110000442_manual_ref-3","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)64489-X"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951110000442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,21]],"date-time":"2025-06-21T06:32:28Z","timestamp":1750487548000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951110000442\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,5,11]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2010,12]]}},"alternative-id":["S1047951110000442"],"URL":"https:\/\/doi.org\/10.1017\/s1047951110000442","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,5,11]]}}}