Korean J Thorac Cardiovasc Surg.
2012 Aug;45(4):213-224.
Tetralogy of Fallot: A Surgical Perspective
- Affiliations
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- 1Cardiac Surgical Unit, Mater Children's Hospital, Queensland Paediatric Cardiac Service, Australia. Trkarl.aus@gmail.com
Abstract
- Tetralogy of Fallot (TOF) is an index lesion for all paediatric and congenital heart surgeons. In designing an appropriate operation for children with TOF, the predicted postoperative physiology must be taken into account, both for the short and long term. A favourable balance between pulmonary stenosis (PS) and pulmonary insufficiency (PI) may be critical for preservation of biventricular function. A unified repair strategy to limit both residual PS and PI is presented, along with supportive experimental evidence. A strategy for dealing with coronary anomalies and some comments regarding best timing of operation are also included.
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