The ultimate aim of surgical treatment of Fallot's tetralogy is complete anatomic repair by removal of the obstruction to pulmonary blood flow and closure of the ventricular septal defect. This ideal has been achieved by a small number of surgeons using a pump oxygenator and cardiac arrest. Until it can be realized by all, less complete operations will be performed that will improve the conditi...

OBJECTIVES This study sought to determine the results of a novel transcatheter management approach in tetralogy of Fallot with diminutive pulmonary arteries. BACKGROUND Tetralogy of Fallot with diminutive pulmonary arteries and severe pulmonary stenosis is rare and resembles tetralogy of Fallot with pulmonary atresia: There is a high incidence of aortopulmonary collateral channels, arborizati...

OBJECTIVES The study was done to define the role of the autonomic nervous system in postoperative tetralogy of Fallot. BACKGROUND Subsequent to surgical correction of tetralogy of Fallot, patients are at long-term risk of sudden death owing to ventricular electrical instability. The status of the sympathetic nervous system in these patients, known to play an important role in other patients a...

OBJECTIVE To study the feasibility, efficacy, and safety of total percutaneous correction of a tetralogy of Fallot variant with dominant pulmonary valve stenosis. DESIGN Percutaneous correction of a variant of tetralogy of Fallot with dominant pulmonary valve stenosis, on the basis that there are transcatheter methods for the correction of malalignment-type ventricular septal defect (VSD) (tr...

DR. AUSTIN: Well, I want to thank everybody for attending. As you may know, less than a year ago I was privileged to become a coeditor for Seminars in Thoracic and Cardiovascular Surgery, as it was thought that some input from a congenital heart surgeon would be helpful. If you look at Seminars over the past several years there have been discussions on various topics which have been primarily a...

Experience with the first 100 cases with tetralogy of Fallot subjected to intracardiae repair are presented. In this series there was an early hospital mortality of 12 per cent and 6 late deaths occurred. Eighty out of 82 survivors were available for follow-up and 33 of these underwent postoperative catheterization studies. The functional status of the survivors revealed excellent results in 89...

This paper reviews the available literature on normal fetal and transitional circulation and its importance in understanding the abnormal circulation related to tetralogy of Fallot (TOF). The anatomical defects of TOF are described along with the clinical manifestations related to each defect. Surgical management and risk factors, which play a major role in the anesthetic management of these pa...

We report the simultaneous occurrence of lymphocytic interstitial pneumonitis and pulmonary embolism in a patient with tetralogy of Fallot and common variable immunodeficiency. An explanation based on the pathogenesis of these diseases is proposed to explain this "unfortunate coincidence".

We describe herein a 54 year female who had tetralogy of Fallot with quadricuspid aortic valve. This combination is very uncommon. Hence it was worth reporting this interesting case.