Records of 165 patients who underwent total correction for Tetralogy of Fallot were analysed for early postoperative morbidity and mortality in the Intensive Care Unit. Eighty three patients (50.3%) had one or more pulmonary complications; 18 (10.9%) developed an infection; 10 (6%) developed acute renal failure requiring peritoneal dialysis; 9 (5.5%) required Total Parenteral Nutrition; there was no intraoperative death, but 6 patients (3.5%) died in the Intensive Care Unit, 4 of them aged < = 24 months. Patients aged < = 24 months at surgery (Group I) showed a significant increase in the incidence of pulmonary complications, infection and longer length of ICU stay compared to those aged > 24 months (Group II). Patients with a bypass time > 120 minutes had significantly more pulmonary complications (63.8%), compared to those < = 120 minutes (34.4%); the longer bypass time group had significantly more pulmonary complications (78%) in patients aged < = 24 months at surgery compared to those aged > 24 months (50%).
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