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Tetralogy of Fallot: Current surgical perspective


Division of Pediatric Cardiac Surgery, UCSF Pediatric Heart Center, San Francisco, USA

Correspondence Address:
Tom R Karl
Division of Pediatric Cardiac Surgery, UCSF Medical Center, S-549, 513 Parnassus, San Francisco, California
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.43873

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Year : 2008  |  Volume : 1  |  Issue : 2  |  Page : 93-100

 

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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.






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Division of Pediatric Cardiac Surgery, UCSF Pediatric Heart Center, San Francisco, USA

Correspondence Address:
Tom R Karl
Division of Pediatric Cardiac Surgery, UCSF Medical Center, S-549, 513 Parnassus, San Francisco, California
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.43873

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
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