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The Annals of Thoracic Surgery, Vol 37, 431-436, Copyright © 1984 by The Society of Thoracic Surgeons
HE Sanchez, EM Cornish, FC Shih, J de Nobrega, J Hassoulas, J Netto, RE Thornington and CN Barnard
This is a review of the last 307 patients with tetralogy of Fallot who were
operated on in our unit at Groote Schuur Hospital and Red Cross War
Memorial Children's Hospital. Complete repair was undertaken in 301
patients, and shunts were performed in 6 children. There were 17 hospital
deaths and 1 late death. The mortality was 5.5% for children less than 12
years old and 6.6% in patients between 12 and 20 years old. During this
study period, there was a change in our policy as to when complete repair
should be attempted. At present, we perform systemic-pulmonary shunts in
patients less than 6 months old and delay complete repair until the child
is 2 years old. In deciding whether a shunt should precede complete repair,
our experience has shown that age is not as important a consideration as
the anatomy of the outflow tract of the right ventricle and pulmonary
arteries.
ARTICLES
The surgical treatment of tetralogy of Fallot
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