[Tetralogy of fallot: evolution of medical-surgical management (part 1)].
Despite Tetralogy of Fallot is a well-known cardiac congenital disease, still an important cardiovascular surgery and intensive care challenge. The following is a selective account of medical and surgical concepts and procedures; the emphasis is on therapeutic developments during the last 50 years. This review is divided into two parts: the first of which traces the evolution of medical and palliative techniques; the second part approaches the surgical corrections and try to explain the reinterventional causes and the residual defects responsible of cardiac failure.
Carlucci
C
C
Cardiologia-Cardiochirurgia Pediatrica, IRCCS Policlinico San Donato, San Donato, Milanese. ketty.c@libero.it
Giamberti
A
A
Chessa
M
M
Negura
D
D
Frigiola
A
A
Carminati
M
M
D002648:Child; D006801:Humans; D010166:Palliative Care; D013771:Tetralogy of Fallot / Q000175:diagnosis / Q000196:embryology / Q000235:genetics / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*