Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Tetralogy of Fallot: A Surgical Perspective

  • Karl, Tom R. (Cardiac Surgical Unit, Mater Children's Hospital, Queensland Paediatric Cardiac Service)
  • Received : 2012.05.18
  • Accepted : 2012.06.12
  • Published : 2012.08.05
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Abstract

Tetralogy of Fallot (TOF) is an index lesion for all paediatric and congenital heart surgeons. In designing an appropriate operation for children with TOF, the predicted postoperative physiology must be taken into account, both for the short and long term. A favourable balance between pulmonary stenosis (PS) and pulmonary insufficiency (PI) may be critical for preservation of biventricular function. A unified repair strategy to limit both residual PS and PI is presented, along with supportive experimental evidence. A strategy for dealing with coronary anomalies and some comments regarding best timing of operation are also included.

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References

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