Primary total repair is the operation of choice for patients with tetralogy of Fallot. Initial palliation with a systemic-to-pulmonary artery shunt or right ventricular outflow tract reconstruction with later corrective surgery may be indicated in the presence of hypoplastic pulmonary artery branches or a left anterior descending coronary artery that arises from the right coronary artery and traverses the right ventricular outflow tract. Shunts are also useful in the management of small children with associated cardiac anomalies, which may be more safely repaired at an older age [i.e., tetralogy of Fallot with complete atrio-ventricular (AV) canal].
KeywordsPulmonary Artery Outflow Tract Subclavian Artery Ventricular Septal Defect Pulmonary Valve
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