title: [Tetralogy of Fallot--new appearance of an old technique].
abstract: Tetralogy of Fallot represents one of the most frequent congenital heart disease in medical practice and a "corner stone" of any paediatric surgical team due to great anatomic and functional variability and clinical aspects. This paper presents a retrospective study of surgical experience in patients with tetralogy of Fallot admitted in Paediatric Cardiovascular Centre of Târgu Mureş, Romania, between 2005, October to 2009, January.
  
  
  METHODS
  There where retrospectively studied medical records of patients who undergo a surgical procedure: age, morphologic diagnosis, symptoms and type of surgical procedure, intraoperative data, postoperative follow-up and complications.
  
  
  RESULTS
  In this period 110 cases of tetralogy of Fallot were operated, 81 total surgical repair (54 primary and 27 secondary procedures); also there were performed 29 "palliative" procedures: systemic/pulmonary shunts (eg. Blalock-Taussig). No intraoperative deaths were recorded; the percentage of in-hospital mortality was 1.8%.
  
  
  CONCLUSIONS
  It's ideal to perform total primary repair of tetralogy of Fallot, especially in the first year of life; extreme cases (severe hypoplasic pulmonary arteries, emergency cases) benefit from "palliative" procedures. Surgical repair of Fallot tetralogy can be performed, with good results in specialised paediatric cardiac surgery centres. This paper represents the first Romanian clinical study on a large number of patients with tetralogy of Fallot surgically treated.
authors.affiliation: Institutul de Urgenţă pentru Boli Cardiovasculare si Transplant, Clinica de Chirurgie Cardiovasculară, Universitatea de Medicină si Farmacie Târgu Mureş.
authors.forename: H
authors.initials: H
authors.lastname: Suciu
authors.forename: R
authors.initials: R
authors.lastname: Deac
authors.forename: I
authors.initials: I
authors.lastname: Tilea
authors.forename: R
authors.initials: R
authors.lastname: Neagoe
authors.forename: E
authors.initials: E
authors.lastname: Jerzicska
authors.forename: Amalia
authors.initials: A
authors.lastname: Făgărăşan
mesh_terms: D058366:Blalock-Taussig Procedure; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008499:Medical Records; D011788:Quality of Life; D012189:Retrospective Studies; D016019:Survival Analysis; D013771:Tetralogy of Fallot / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome