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At what age should tetralogy of Fallot be corrected?

Published online by Cambridge University Press:  12 January 2017

Julien I. E. Hoffman
Julien I. E. Hoffman*
Affiliation:
Department of Pediatrics, University of California, San Francisco, California, United States of America
*
Correspondence to: J. I. E. Hoffman, MD, 925 Tiburon Boulevard, Tiburon, CA 94920, United States of America. Tel: +1 415 497 6741; E-mail: jiehoffman@gmail.com
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Abstract

Tetralogy of Fallot can be corrected with very low mortality at any age, even in neonates, but this does not necessarily mean that it should be corrected in the neonatal period. Although there are many advantages to early correction, a high proportion of these neonates have residual stenosis or pulmonary regurgitation that impairs ventricular function and may require further surgery or implantation of a pulmonary valve. Before we had the ability to correct this anomaly with low mortality in small children, a variety of palliative procedures had to be performed. Today, with better understanding of the anatomy of tetralogy of Fallot, we should consider what forms of palliation will increase growth of the right ventricular outflow tract in order to reduce the complications of very early surgery.

Keywords

Pulmonary stenosisinfundibulumballoon valvotomypropranolol
Type
Review Articles
Information
Cardiology in the Young , Volume 27 , Issue 4 , May 2017 , pp. 625 - 629
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Copyright
© Cambridge University Press 2017 

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