Tetralogy of Fallot surgical indications: Difference between revisions
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{{Tetralogy of fallot}} | {{Tetralogy of fallot}} | ||
{{CMG}} | |||
==Overview== | |||
A complete surgical repair of Tetralogy of Fallot is now generally undertaken between the ages of 1 and 2, preferably at about one year of age. | |||
Multiple | ==Risk Factors for Early Repair== | ||
The following list of risk factors is associated with an increased risk of early repair of tetralogy of Fallot: <ref>Gustafson RA, Murray GF, Warden HE, Hill RC, Rozar GE Jr. Early primary repair of tetralogy of Fallot. Ann Thorac Surg. Mar 1988;45(3):235-41.</ref> | |||
*[[Low birth weight]] | |||
*[[Pulmonary artery atresia]] | |||
*Major associated anomalies | |||
*Multiple previous surgeries | |||
*[[Absent pulmonary valve syndrome]] | |||
*Young or old age | |||
*Severe [[annular hypoplasia]] | |||
*Small [[pulmonary arteries]] | |||
*High peak RV–to–left ventricular pressure ratio | |||
*Multiple [[VSD]]s | |||
*Coexisting cardiac anomalies | |||
Multiple coexisting intracardiac malformations | ==Contraindications to Primary Repair of Tetralogy of Fallot== | ||
Contraindications to primary repair in Tetralogy of Fallot include the following: | |||
*The presence of an [[anomalous coronary artery]] | |||
*Very [[low birth weight]] | |||
*Small [[pulmonary arteries]] | |||
*Multiple [[VSD]]s | |||
*Multiple coexisting intracardiac malformations | |||
==References== | ==References== | ||
Latest revision as of 20:19, 16 April 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
A complete surgical repair of Tetralogy of Fallot is now generally undertaken between the ages of 1 and 2, preferably at about one year of age.
Risk Factors for Early Repair
The following list of risk factors is associated with an increased risk of early repair of tetralogy of Fallot: [1]
- Low birth weight
- Pulmonary artery atresia
- Major associated anomalies
- Multiple previous surgeries
- Absent pulmonary valve syndrome
- Young or old age
- Severe annular hypoplasia
- Small pulmonary arteries
- High peak RV–to–left ventricular pressure ratio
- Multiple VSDs
- Coexisting cardiac anomalies
Contraindications to Primary Repair of Tetralogy of Fallot
Contraindications to primary repair in Tetralogy of Fallot include the following:
- The presence of an anomalous coronary artery
- Very low birth weight
- Small pulmonary arteries
- Multiple VSDs
- Multiple coexisting intracardiac malformations
References
- ↑ Gustafson RA, Murray GF, Warden HE, Hill RC, Rozar GE Jr. Early primary repair of tetralogy of Fallot. Ann Thorac Surg. Mar 1988;45(3):235-41.