Tetralogy of Fallot and pulmonary atresia/ventricular septal defect.
Surgical repair of tetralogy of Fallot is associated with excellent results. Long-term complications include arrhythmias, sudden death, and right ventricular aneurysm formation. Reoperation is necessary in approximately 5% of patients for residual ventricular septal defect, pulmonary regurgitation, or pulmonary stenosis. Pulmonary atresia/ventricular septal defect is a more complex situation, and the anatomy needs careful delineation by cardiac catheterization prior to any surgical intervention. Palliation with a shunt or first-stage repair may be effective, or radical repair may be considered in those with adequate pulmonary distribution.
Warnes
C A
CA
Department of Medicine, Mayo Medical School, Rochester, Minnesota.
D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000601:surgery; D006801:Humans; D011664:Pulmonary Valve / Q000002:abnormalities* / Q000601:surgery; D012086:Reoperation; D013771:Tetralogy of Fallot / Q000150:complications* / Q000601:surgery