Open AccessSelective Operative Treatment for Tetralogy of Fallot
Author(s) -
Harvey W. Bender,
R. Darryl Fisher,
David M. Conkle,
Charles E. Martin,
T.P. Graham
Publication year - 1976
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197606000-00011
Subject(s) - medicine , tetralogy of fallot , intracardiac injection , shunt (medical) , surgery , palliative care , ventricular outflow tract , ventricle , heart disease , cardiology , nursing
Eighty-one patients with tetralogy of Fallot malformations evaluated between July 1, 1971 and November, 1975 are presented. Fifty-one patients underwent primary intracardiac repair; three died. Twenty-seven patients were corrected after a previous palliative shunt; there was one death. Three additional patients have been palliated and are awaiting repair. While the overall mortality in these patients was less than 5%, the infants undergoing total correction before the age of two years appeared to be at greater risk (25%). There were no deaths in the group of patients undergoing palliative procedures. Based on these data it appears that a safely performed palliative shunt in the symptomatic small infant is a reasonable first step, particularly if the outflow tract of the right ventricle is diffusely hypoplastic.