title: Correction of tetralogy of Fallot with combined transatrial and pulmonary approach: experience with 184 consecutive cases.
abstract: The authors present their technique and results for complete correction of Fallot's tetralogy by closure of the ventricular septal defect by the transatrial approach, and resection of the infundibular hypertrophy by a combined approach through the tricuspid and pulmonary valve orifices. Right ventricular pressures were often high at the end of operation due to a residual muscular gradient but the outcome of these postoperative gradients was similar to that of valvular pulmonary stenosis with an intact ventricular septum.
authors.affiliation: Chirurgien des Hopitaux, Centre Chirurgical, Marie-Lannelongue, Paris, France.
authors.forename: J P
authors.initials: JP
authors.lastname: Binet
mesh_terms: D001111:Arcuate Nucleus of Hypothalamus / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods / Q000401:mortality / Q000592:standards*; D005500:Follow-Up Studies; D006325:Heart Atria / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D010297:Paris / Q000453:epidemiology; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D013771:Tetralogy of Fallot / Q000503:physiopathology / Q000601:surgery*; D016278:Ventricular Function, Right