Abstract
Total surgical correction of the tetralogy of Fallot remains a most challenging and difficult problem in cardiac surgery. The present study, like others, indicates that this lesion can be corrected, and excellent anatomical and haemodynamic results can be obtained with an acceptable mortality.
Results following total surgical correction in 45 consecutive patients are presented. The operative mortality was 13%. The causes of death are analysed. Certain uncommon severe associated defects adversely influenced the outcome of the operation. The great majority of surviving patients are improved. Postoperative haemodynamic studies in eight patients revealed gratifying results.
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- BAKER C., HANCOCK W. E. Deterioration after mitral valvotomy. Br Heart J. 1960 Apr;22:281–294. doi: 10.1136/hrt.22.2.281. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Barnard C. N., Schrire V. The surgical approach to tetralogy of Fallot. S Afr Med J. 1966 Apr 23;40(15):330–339. [PubMed] [Google Scholar]
- Bristow J. D., Kloster F. E., Lees M. H., Menashe V. D., Griswold H. E., Starr A. Serial cardiac catheterizations and exercise hemodynamics after correction of tetralogy of Fallot: average follow-up 13 months and 7 years after operation. Circulation. 1970 Jun;41(6):1057–1066. doi: 10.1161/01.cir.41.6.1057. [DOI] [PubMed] [Google Scholar]
- Burnell R. H., Woodson R. D., Lees M. H., Bristow J. D., Starr A. Results of correction of tetralogy of Fallot in children under four years of age. J Thorac Cardiovasc Surg. 1969 Feb;57(2):153–159. [PubMed] [Google Scholar]
- Dobell A. R., Charrette E. P., Chughtai M. S. Correction of tetralogy of Fallot in the young child. J Thorac Cardiovasc Surg. 1968 Jan;55(1):70–79. [PubMed] [Google Scholar]
- Kirklin J. W., Wallace R. B., McGoon D. C., DuShane J. W. Early and late results after intracardiac repair of Tetralogy of Fallot. 5-Year review of 337 patients. Ann Surg. 1965 Oct;162(4):578–589. doi: 10.1097/00000658-196510000-00004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LEACHMAN R. D., HALLMAN G. L., COOLEY D. A. RELATIONSHIP BETWEEN POLYCYTHEMIA AND SURGICAL MORTALITY IN PATIENTS UNDERGOING TOTAL CORRECTION FOR TETRALOGY OF FALLOT. Circulation. 1965 Jul;32:65–68. doi: 10.1161/01.cir.32.1.65. [DOI] [PubMed] [Google Scholar]
- LILLEHEI C. W., COHEN M., WARDEN H. E., READ R. C., AUST J. B., DEWALL R. A., VARCO R. L. Direct vision intracardiac surgical correction of the tetralogy of Fallot, pentalogy of Fallot, and pulmonary atresia defects; report of first ten cases. Ann Surg. 1955 Sep;142(3):418–442. doi: 10.1097/00000658-195509000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LILLEHEI C. W., LEVY M. J., ADAMS P., ANDERSON R. C. CORRECTIVE SURGERY FOR TETRALOGY OF FALLOT. LONG-TERM FOLLOW-UP BY POSTOPERATIVE RECATHETERIZATION IN 69 CASES AND CERTAIN SURGICAL CONSIDERATIONS. J Thorac Cardiovasc Surg. 1964 Oct;48:556–576. [PubMed] [Google Scholar]
- Malm J. R., Blumenthal S., Bowman F. O., Jr, Ellis K., Jameson A. G., Jesse M. J., Yeoh C. B. Factors that modify hemodynamic results in total correction of tetralogy of Fallot. J Thorac Cardiovasc Surg. 1966 Oct;52(4):502–513. [PubMed] [Google Scholar]
- Munsi S. C., John S., Joseph T. M., Thomas D. W., Bhati B. S., Sukumar I. P., Krishnaswami S., Mc Arthur J. D., Thanikachalam S., Cherian G. Results of total correction of tetralogy of Fallot in twentyone cases. J Assoc Physicians India. 1970 Jul;18(7):585–589. [PubMed] [Google Scholar]
- Zerbini E. J. The surgical treatment of the complex of Fallot: late results. J Thorac Cardiovasc Surg. 1969 Aug;58(2):158–177. [PubMed] [Google Scholar]

