Chromosome 22ql1 fluorescence in situ hybridisation (FISH) studies were performed on 33 consecutive individuals attending a paediatric cardiology clinic with tetralogy of Fallot. Seven children had 22qll microdeletions but only four had other clinical features associated with the newly recognised chromosome 22 deletion syndrome (CATCH 22). Chromosome 22qll FISH studies should therefore be perfo...

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...

Anatomy Tetralogy of Fallot represents 10% of all congenital heart defects and is the most common form of cyanotic heart disease. A Danish scholar, Nicholas Steno, first described the defect in 1673, 200 years before Fallot. One hundred years later, numerous other reports were published from postmortem cardiac examinations. The French physician, Arthur Fallot, was the first to make an accurate ...

Combined left anterior hemiblock and right bundle-branch block after surgical closure of ventricular septal defects and correction of tetralogy of Fallot is evaluated in 240 patients. It wasfound that 7 of IO9 patients or 6-4 per cent with ventricular septal defect and I4 of I3I patients or IO-7 per cent with tetralogy of Fallot developed this combination of conduction disturbances as a consequ...

 C García Guevara Cardiocentro Pediátrico William Soler Avenida 100 y Perla Altahabana CP 10800. La Habana, Cuba E-mail address: [email protected] ABSTRACT In tetralogy of Fallot with hypoplastic pulmonary arteries, an alternative to avoid palliative surgeries is percutaneous pulmonary valvuloplasty using a balloon catheter. When there are major arteriovenous collaterals producing volume o...

The Incidence of superior ORS axis in 200 consecutive infants and children with cyanotic congenital heart disease who underwent cardiac catheterization is 26%. Patients with asplenia syndrome, transposition of great arteries, double outlet right ventricle and dextrocardia complex are most likely to have superior ORS axis. The frequency of superior QRS axis in patients with tetralogy of Fallot i...

Percutaneous pulmonary valve implantation (PPVI) is now an accepted alternative option to conventional surgery for patients with dysfunctional conduits between the right ventricle and pulmonary artery. PPVI will reduce the total number of repeat operations in such patients. However, surgery remains the primary option in postoperative tetralogy of Fallot patients with severe pulmonary regurgitat...

Eighty one children, comprising 51 with tetralogy of Fallot and 30 children with transposition of the great arteries (TGA) were assessed using the Wechsler intelligence scale for children--revised, and a battery of neuropsychological measures. They were compared with a group of 33 children who had surgery for ventricular septal defect. All children were aged over 10 years when reviewed and were...

We present the case of a 3-month-old girl who had unrepaired Tetralogy of Fallot who presented to the emergency department with an acute hypoxic episode. The patient was hyperpneic and cyanotic, with an initial oxygen saturation of 56%. She did not respond to knee-to-chest positioning. A single dose of intranasal fentanyl was administered with subsequent resolution of her symptoms and improveme...

IN RECENT YEARS the morphological features of the major portions of the atrioventricular (A-V) conduction system of human hearts that were afflicted with various congenital anomalies have been described.1-6 These reports have contrasted the anatomy of the A-V conduction system in examples of ventricular septal defect (VSD) and tetralogy of Fallot with that configuration found in defects of the ...