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Ann Thorac Surg 1994;58:211-215
© 1994 The Society of Thoracic Surgeons

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Articles

Current surgical management of tetralogy of fallot

^a Division of Cardiothoracic Surgery, University of Southern California School of Medicine, Los Angeles USA
^b Department of Cardiovascular Surgery and Division of Pediatric Cardiology, Stanford University Medical Center, Stanford, California USA

Accepted for publication November 27, 1993.

^_* Address reprint requests to Dr Starnes, Division of Cardiothoracic Surgery, Childrens Hospital Los Angeles, University of Southern California School of Medicine, 1510 San Pablo St. Ste 415, Los Angeles, CA 90033.

The surgical management of tetralogy of Fallot has undergone important changes in recent years. Earlier repair of tetralogy of Fallot is now favored by many institutions. At Stanford University Medical Center, we have performed definitive repair of tetralogy of Fallot at the time of presentation, regardless of the child's age, with few exceptions. In this report, we describe our results with early repair, and we believe these support the contention that infants who undergo early repair (<1 year of age) have postoperative results similar to those of children who undergo repair at an older age. Complications related to shunts are prevented by the infant repairs, and, in the future, reduced ventricular ectopy may be demonstrated to be a benefit of such repairs.

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