Tetralogy of Fallot: Current surgical perspective

Tetralogy of Fallot: Current surgical perspective

Tetralogy of Fallot (TOF) is an important lesion for all pediatric and congenital heart surgeons. In designing the most appropriate operation for children with TOF, the postoperative physiology should be taken into account, both in the short and long term. The balance between pulmonary stenosis (PS)...

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Bibliographic Details
Main Author: Karl Tom
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2008-01-01
Series:Annals of Pediatric Cardiology
Subjects:
Right ventricular function
residual right ventricular outflow obstruction
residual pulmonary incompetence
Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2008;volume=1;issue=2;spage=93;epage=100;aulast=Karl
Description
Summary:Tetralogy of Fallot (TOF) is an important lesion for all pediatric and congenital heart surgeons. In designing the most appropriate operation for children with TOF, the postoperative physiology should be taken into account, both in the short and long term. The balance between pulmonary stenosis (PS) and pulmonary insufficiency (PI) may be critical for preservation of ventricular function. A unified repair strategy that limits both residual PS and PI is presented, along with supporting experimental evidence, a strategy for dealing with coronary anomalies, and comments regarding best timing of operation.
ISSN:0974-2069

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