Premium
Tetralogy of Fallot: an overview, case report, and discussion of dental implications
Author(s) -
Spivack Evan
Publication year - 2001
Publication title -
special care in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.328
H-Index - 41
eISSN - 1754-4505
pISSN - 0275-1879
DOI - 10.1111/j.1754-4505.2001.tb00250.x
Subject(s) - medicine , tetralogy of fallot , cardiac catheterization , hypoxia (environmental) , intensive care medicine , pediatrics , heart disease , cardiology , surgery , chemistry , organic chemistry , oxygen
Tetralogy of Fallot (TOF) is the most common cause of cyanotic heart disease. The anatomic defects comprising TOF lead to the systemic circulation of oxygen‐poor (desaturated) blood, resulting in symptoms of cyanosis, polycythemia, and hypoxia. Untreated, most patients with this disorder die during childhood. Surgical treatment aimed at correcting the defects is currently recommended for infants. Long‐term studies have reported good results with this approach. The case history of a four‐year‐old male with uncorrected tetralogy of Fallot is presented. The patient required extensive dental treatment prior to scheduled cardiac catheterization. The dental findings and plan of care for this patient are detailed, and attention is given to the role of the medical work‐up, preoperative antibiotics, and sedatives. It is stressed that the dental treatment plan for patients with tetralogy of Fallot must take into account the patients' medical status both prior to and following corrective surgical procedures.