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The Annals of Thoracic Surgery, Vol 58, 211-215, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Current surgical management of tetralogy of Fallot

VA Starnes, GB Luciani, DA Latter and ML Griffin
Division of Cardiothoracic Surgery, University of Southern California School of Medicine, Los Angeles 90033.

The surgical management of tetralogy of Fallot has undergone important changes in recent years. Earlier repair of tetralogy of Fallot is now favored by many institutions. At Stanford University Medical Center, we have performed definitive repair of tetralogy of Fallot at the time of presentation, regardless of the child's age, with few exceptions. In this report, we describe our results with early repair, and we believe these support the contention that infants who undergo early repair (< 1 year of age) have postoperative results similar to those of children who undergo repair at an older age. Complications related to shunts are prevented by the infant repairs, and, in the future, reduced ventricular ectopy may be demonstrated to be a benefit of such repairs.


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