Tetralogy of Fallot surgical indications

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Factors that increase risk for early repair of tetralogy of Fallot (TOF) include the following[15] :

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

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