PMID: 46223Feb 1, 1975

The surgical correction of Fallot's tetralogy

Israel Journal of Medical Sciences
C N Barnard, M S Barnard

Abstract

The success of total repair of tetralogy of Fallot depends on a clear understanding of the morbid anatomy and deranged hemodynamics of this anomaly, which consists essentially of two abnormalities, namely, a large unrestrictive ventricular septal defect and a severe obstruction to the outflow of the right ventricle. The ventricular septal defect acts as a safety valve and, therefore, cannot be closed unless the obstruction to the outflow of the right ventricle is adequately relieved. In severe cases, this often necessitates reconstruction of the outflow. With an adequate bypass technique and a clear understanding of the principles described in this article, complete correction of tetralogy of Fallot can be accomplished with a low mortality. In a series of 100 consecutive patients presented, the mortality was only 3%.

Related Concepts

Right Ventricular Structure
Morphologically Abnormal Structure (Morphologic Abnormality)
Obstruction
Entire Right Ventricle
Hemodynamics
Ventricular Septal Defects
Tetralogy of Fallot
Postoperative Complications
Congenital Abnormality
Palliative Surgery

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