title: Surgical management of tetralogy of fallot: in defense of the infundibulum.
abstract: Surgical treatment of the Tetralogy of Fallot (ToF) is one of the great successes of medicine and also a topic of controversy. Different strategies have been proposed, including age-based (neonatal) management strategies as well as anatomic-based management strategies. Regardless of the management strategy entailed, the surgical management of ToF has considerably evolved over the years. As a result, patients can now expect excellent early results with survival approaching 100% for those without genetic syndromes. The goals of current surgical therapy should be to mitigate the late right ventricular (RV) dysfunction that may occur by minimizing the extent of surgical injury during the intial repair. As the surgical techniques continue to advance, the outcomes will continue to improve.
authors: Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.. Electronic address: edmckenz@texaschildrens.org.
authors: E Dean
authors: ED
authors: McKenzie
authors: Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors: Shiraz A
authors: SA
authors: Maskatia
authors: Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors: Carlos
authors: C
authors: Mery
mesh_terms: D000367:Age Factors; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000401:mortality; D006801:Humans; D007231:Infant, Newborn; D018579:Patient Selection; D012307:Risk Factors; D013771:Tetralogy of Fallot / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D018497:Ventricular Dysfunction, Right / Q000209:etiology / Q000503:physiopathology; D016277:Ventricular Function, Left; D016278:Ventricular Function, Right; D014694:Ventricular Outflow Obstruction / Q000209:etiology / Q000503:physiopathology
keywords: infundibulum; neonatal; right ventricular outflow tract; tetralogy of Fallot