Radiological and Surgical Anatomy in Tetralogy of Fallot and the Effect on Surgical Prognosis.

The tetralogy of Fallot constitutes the commonest variety of cyanotic congenital heart disease found in patients surviving infancy (Wood, 1956; Keith, Rowe, and Vlad, 1958). Following the pioneer work of Lillehei and his associates (1955), the complete surgical correction of this lesion has become a standard procedure in most centres. Although Malm et al. (1963) have reported 41 consecutive patients undergoing surgery with no immediate operative mortality, other series indicate that an appreciable hazard remains when attempting complete correction (Table I). Although the