Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-23T19:11:51.726Z Has data issue: false hasContentIssue false
  • English
  • Français

Modern surgical management of patients with tetralogy of Fallot*

Published online by Cambridge University Press:  09 January 2014

Paul J. Chai ,
Jeffrey P. Jacobs  and
James A. Quintessenza
Paul J. Chai*
Affiliation:
Pediatric and Congenital Cardiac Surgery, Columbia University Medical Center, New York, United States of America
Jeffrey P. Jacobs
Affiliation:
Johns Hopkins All Children's Heart Institute, St. Petersburg, Florida, United States of America
James A. Quintessenza
Affiliation:
Johns Hopkins All Children's Heart Institute, St. Petersburg, Florida, United States of America
*
Correspondence to: Paul J. Chai, MD, Morgan Stanley Children's Hospital-Columbia University Medical Center, 3959 Broadway CHN-276, NY 10032, United States of America.
Get access Rights & Permissions [Opens in a new window]

Abstract

Tetralogy of Fallot is the most common cyanotic heart defect seen in children beyond infancy. There is considerable variation in surgical management today ranging from differences in timing of complete repair versus initial use of a shunt for palliation, and methods for right ventricular outflow tract reconstruction. This article will examine some of the current surgical management techniques for patients with Tetralogy of Fallot.

Keywords

Tetralogy of Fallotsurgical management
Type
Original Article
Information
Cardiology in the Young , Volume 23 , Issue 6: HeartWeek 2013 , December 2013 , pp. 905 - 909
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Presented at “The Birth of Heart Surgery: Lessons Learned from Tetralogy – Past, Present and Future” Dinner Symposium Sponsored by Johns Hopkins Medicine and All Children's Hospital, Thursday, February 21, 2013, at The Sixth World Congress of Paediatric Cardiology and Cardiac Surgery, Cape Town International Convention Centre, Cape Town, South Africa, February 17–22, 2013. A video of this presentation can be viewed at the following hyperlink: [http://www.allkids.org/wcpccs].

References

1.Jacobs, JP. Introduction to the supplement: controversies and challenges of tetralogy of Fallot and other challenges facing paediatric cardiovascular practitioners and their patients. In: Jacobs JP, Wernovsky G, Cooper DS, Gaynor JW, Anderson RH (eds). 2008 Supplement to Cardiology in the Young: Annual Heart Week in Florida Supplement Number 6 – Controversies and Challenges of Tetralogy of Fallot and Other Challenges Facing Paediatric Cardiovascular Practitioners and Their Patients 2008 Cardiology in the Young, Volume 18 (Suppl 3): 1–7.Google Scholar
2.Jacobs, ML, Jacobs, JP. The early history of surgery for patients with tetralogy of Fallot. In: Jacobs JP, Wernovsky G, Cooper DS, Gaynor JW, Anderson RH (eds). 2008 Supplement to Cardiology in the Young: Annual Heart Week in Florida Supplement Number 6 – Controversies and Challenges of Tetralogy of Fallot and Other Challenges Facing Paediatric Cardiovascular Practitioners and Their Patients 2008 Cardiology in the Young, Volume 18 (Suppl 3): 8–11.Google Scholar
3.Fraser, CD, McKenzie, ED, Cooley, DA. Tetralogy of Fallot: surgical management individualized to the patient. Ann Thorac Surg 2001; 71: 1556–1561.Google Scholar
4.McGrath, LB, Gonzales-Lavin, L. Determination of need for a ventriculotomy in the repair of tetralogy of Fallot. J Thorac Cardiovasc Surg 1988; 96: 947–951.Google Scholar
5.Blackstone, EH, Kirklin, JW, Pacifico, AD, et al. Decision-making in repair of tetralogy of Fallot based on intraoperative measurements of pulmonary arterial outflow tract. J Thorac Cardiovasc Surg 1979; 77: 526–532.Google Scholar
6.Stewart, RD, Backer, CL, Young, L, Mavroudis, C. Tetralogy of Fallot: results of a pulmonary valve-sparing strategy. Ann Thorac Surg 2005; 80: 1431–1438.CrossRefGoogle ScholarPubMed
7.Al Habib, HF, Jacobs, JP, Mavroudis, C, et al. Contemporary patterns of management of tetralogy of Fallot: Data from the Society of Thoracic Surgeons Database. Ann Thorac Surg 2010; 90: 813–819; discussion 819–20, September 2010.Google Scholar
8.Quintessenza, JA, Jacobs, JP, Chai, PJ, Morell, VO, Lindberg, H. Polytetrafluoroethylene bicuspid pulmonary valve implantation: experience with 126 patients. World J Pediatr Congenit Heart Surg 2010; 1: 20–27.Google Scholar