Tetralogy of Fallot

  • Bradley J. Harlan
  • Albert Starr
  • Fredric M. Harwin
Part of the Comprehensive Manuals of Surgical Specialties book series (CMSS)

Abstract

It is now a quarter century since total correction of tetralogy of Fallot was first reported by Lillehei41 and demonstrated to be a feasible, low-risk operation by Kirklin.33 During that time significant advances have occurred. Such advances, however, have not completely resolved the continuing controversy over when surgical intervention is indicated and what surgical approach should be taken-the two-stage approach of a palliative procedure to increase pulmonary blood flow followed by later total correction or the one-stage approach of primary total correction. Whatever approach is taken, surgery has an extremely important role in tetralogy of Fallot. The life expectancy without surgery is extremely poor: one-third of patients will die before 1 year. half before 3 years, and only one-quarter will live to 10 years.6

Keywords

Pulmonary Artery Ventricular Septal Defect Pulmonary Valve Main Pulmonary Artery Pulmonary Regurgitation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1981

Authors and Affiliations

  • Bradley J. Harlan
    • 1
  • Albert Starr
    • 1
  • Fredric M. Harwin
    • 2
  1. 1.Division of Cardiopulmonary SurgeryUniversity of Oregon Health Sciences CenterPortlandUSA
  2. 2.PortlandUSA

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