Tetralogy of Fallot surgical indications
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Tetralogy of fallot Microchapters |
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Risk calculators and risk factors for Tetralogy of Fallot surgical indications |
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
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.