It is now almost four decades since total correction of tetralogy of Fallot was first reported by Lillehei and demonstrated to be a feasible, low-risk operation by Kirklin. During that time significant advances have occurred. Primary total correction can now be performed with low mortality in most infants regardless of size or weight. 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.
KeywordsPulmonary Artery Ventricular Septal Defect Ventricular Outflow Tract Main Pulmonary Artery Left Pulmonary Artery
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