Coronary echocardiography in tetralogy of Fallot: diagnostic accuracy, resource utilization and surgical implications over 13 years

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Coronary echocardiography in tetralogy of fallot: diagnostic accuracy, resource utilization and surgical implications over 13 years.

OBJECTIVES This study sought to determine the diagnostic accuracy and impact of the systematic use of coronary echocardiography in a large group of preoperative patients with tetralogy of Fallot (TOF). BACKGROUND Accurate preoperative identification of an anomalous coronary artery crossing the right ventricular outflow tract (RVOT) in patients with TOF is important to prevent coronary injury ...

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Tetralogy of Fallot; surgical treatment.

Since Blalock published his first report on the surgical treat ment of pulmonary stenosis, we became greatly interested in this subject. While performing an necropsy on a ten year old child who had tetralogy we found an abnormal vessel which connected the left subclavian and left pulmonary arteries (Fig. 1); this vessel had a very small lumen and evidently was unable to supply enough oxygenated...

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Surgical management of tetralogy of Fallot.

Pathoanatomy The primary pathoanatomy seen in dogs with Tetralogy of Fallot (ventricular septal defect, pulmonic stenosis and overriding aorta) can all be explained by embryological developmental defects of the endocardial cushions comprising the conotruncal septum. (Patterson and others 1974) This is because the sinistroventral conus cushion and sinistroinferior truncus cushion give rise to th...

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Late surgical treatment of tetralogy of Fallot

AIM To study early post-operative results and follow up of patients over a year old, operated on for tetralogy of Fallot (ToF). METHODS This retrospective analysis included 22 patients (14 male and eight female) with a mean age of 9.18 ± 6.5 years (range 13.5 months to 26 years), who underwent complete repair of ToF between April 2003 and June 2009. Data from patients' records, pre-operative ...

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Tetralogy of Fallot: A Surgical Perspective

Tetralogy of Fallot (TOF) is an index lesion for all paediatric and congenital heart surgeons. In designing an appropriate operation for children with TOF, the predicted postoperative physiology must be taken into account, both for the short and long term. A favourable balance between pulmonary stenosis (PS) and pulmonary insufficiency (PI) may be critical for preservation of biventricular func...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2000

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(00)00862-7