{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:27:24Z","timestamp":1793384844351,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T00:00:00Z","timestamp":1570579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The benefits of surgical correction of adult tetralogy of Fallot are well known. The current recommendation is for total correction regardless of age. This study analyzed perioperative factors affecting early outcome after corrective surgery in adulthood in the current era.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective chart review of 40 consecutive patients over 18 years of age who underwent total correction of tetralogy of Fallot from September 2006 to June 2013. Patients with pulmonary atresia and absent pulmonary valve were excluded. The mean age at surgery was 26.60\u2009\u00b1\u20098.69 years (range 18\u201349 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean intensive care unit stay was 3.30\u2009\u00b1\u20092.29 days (range 0.75\u201312 days) and hospital stay was 9.97\u2009\u00b1\u20093.39 days (range 7\u201322 days). Mortality was 5% (2\/40). Multiple parameters indicating immediate postoperative outcomes and their relationships to selected pre-, intra-, and postoperative factors were analyzed. Multivariate analysis showed that postoperative right ventricular dysfunction had a significant influence on mortality ( p\u2009&lt;\u20090.001) and hospital stay ( p\u2009=\u20090.01). Performing zero-balance ultrafiltration decreased the need for renal replacement therapy ( p\u2009=\u20090.034), duration of ventilation ( p\u2009=\u20090.009), incidence of low cardiac output ( p\u2009=\u20090.006), intensive care unit stay ( p\u2009=\u20090.01), and hospital stay ( p\u2009=\u20090.009).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Total correction of tetralogy of Fallot is a safe option for presentations as late as adulthood. The protective effect of zero-balance ultrafiltration on postoperative morbidity needs to be reassessed in larger studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492319882870","type":"journal-article","created":{"date-parts":[[2019,10,9]],"date-time":"2019-10-09T03:01:35Z","timestamp":1570590095000},"page":"731-737","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Adult tetralogy repair: factors affecting early outcome in the current era"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7840-879X","authenticated-orcid":false,"given":"Sowmya","family":"Ramanan","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, Frontier Lifeline Hospital and Dr. K. M. Cherian Heart Foundation, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navaneetha","family":"Sasikumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Frontier Lifeline Hospital and Dr. K. M. Cherian Heart Foundation, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna","family":"Manohar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, Frontier Lifeline Hospital and Dr. K. M. Cherian Heart Foundation, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salla Sweta","family":"Ramani","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, Frontier Lifeline Hospital and Dr. K. M. Cherian Heart Foundation, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RaghavanNair Suresh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Frontier Lifeline Hospital and Dr. K. M. Cherian Heart Foundation, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Frontier Lifeline Hospital and Dr. K. M. Cherian Heart Foundation, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghavan","family":"Subramanyam","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Frontier Lifeline Hospital and Dr. K. M. Cherian Heart Foundation, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kotturathu Mammen","family":"Cherian","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, Frontier Lifeline Hospital and Dr. K. M. Cherian Heart Foundation, Chennai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,9]]},"reference":[{"key":"bibr1-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2003.11.002"},{"key":"bibr2-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1013719"},{"key":"bibr3-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)63028-7"},{"key":"bibr4-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65928-0"},{"key":"bibr5-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(97)00279-9"},{"key":"bibr6-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960220705"},{"key":"bibr7-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.52.1.77"},{"issue":"3","key":"bibr8-0218492319882870","first-page":"III123","volume":"102","author":"Van Arsdell GS","year":"2000","journal-title":"Circulation"},{"key":"bibr9-0218492319882870","first-page":"300","volume":"31","author":"Khan I","year":"2016","journal-title":"Braz J Cardiovasc Surg"},{"key":"bibr10-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(89)90671-1"},{"key":"bibr11-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1586\/14779072.5.2.221"},{"key":"bibr12-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2008.00700.x"},{"key":"bibr13-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1177\/0218492313496416"},{"key":"bibr14-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2009.00963.x"},{"key":"bibr15-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1177\/2150135115613745"},{"key":"bibr16-0218492319882870","first-page":"340","volume":"26","author":"Nandi PL","year":"1981","journal-title":"J R Coll Surg Edin"},{"key":"bibr17-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1191\/0267659102pf540oa"},{"key":"bibr18-0218492319882870","doi-asserted-by":"publisher","DOI":"10.1177\/0267659112450182"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492319882870","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0218492319882870","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492319882870","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:54:33Z","timestamp":1777398873000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0218492319882870"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,9]]},"references-count":18,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1177\/0218492319882870"],"URL":"https:\/\/doi.org\/10.1177\/0218492319882870","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,9]]}}}