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