Skip to main content Accessibility help
×
Home
Hostname: page-component-7f7b94f6bd-sqtrr Total loading time: 0.227 Render date: 2022-07-01T01:07:28.236Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true } hasContentIssue true

Modern surgical management of patients with tetralogy of Fallot*

Published online by Cambridge University Press:  09 January 2014

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.

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.

Type
Original Article
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: 15561561.CrossRefGoogle ScholarPubMed
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: 947951.Google ScholarPubMed
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: 526532.Google ScholarPubMed
6.Stewart, RD, Backer, CL, Young, L, Mavroudis, C. Tetralogy of Fallot: results of a pulmonary valve-sparing strategy. Ann Thorac Surg 2005; 80: 14311438.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: 813819; discussion 819–20, September 2010.CrossRefGoogle ScholarPubMed
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: 2027.CrossRefGoogle ScholarPubMed
9
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Modern surgical management of patients with tetralogy of Fallot*
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Modern surgical management of patients with tetralogy of Fallot*
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Modern surgical management of patients with tetralogy of Fallot*
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *