Editorial Comment: Very early repair of tetralogy of Fallot: we can, but should we?

Very early repair of tetralogy of Fallot: we can, but should we?

your manuscript you are advocating an elective repair between two and eight months of age. Do you not think that your repair would be more efficient when performed at an earlier age, between two or three months of age? Dr Arenz: The goal is, if we receive the patients from our cardiologists early enough, to correct the patients as early as possible. But we have many cardi-ologists who send us p...

We Can, but Should We?

We can, but should we? After recently reflecting upon our profession as pediatric critical care physicians , I concluded that this one complex question gets asked many times throughout the day – or at least it should. A recent report discussed an emerging paradigm in pediatric critical care medicine (1). With more and more chronic patients filling our pediatric intensive care unit (PICU), perha...

Yes, We Can! (Should We?).

The repaired tetralogy of Fallot become adult: what should we expect

Methods 82 patients with repaired tetralogy of Fallot were collected from the database of our pediatric and congenital adult cardiology and cardiac surgery unit. Only patients older than 16 years of age at the time of the study were selected. All patients underwent complete surgical repair during childhood at a mean age of1.6±1.3 years. Forty-nine patients (71.9%) were treated with transannular...

Physiologic studies early after repair of tetralogy of Fallot.

FIFTEEN eyanotic patients with tetralogy of Fallot were studied at various times in the operating room and during the first 3 days after intracardiae repair of tetralogy of Fallot. Similar studies have not been reported previously. The accumulated data emphasize the need for precision in accomplishing the operation; allow description of the hemodynamic state, gas exchange, and acidbase profile ...