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Gosta B. Pettersson
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Ann Thorac Surg 2005;80:2291-2292
© 2005 The Society of Thoracic Surgeons

Original article: Cardiovascular

Invited commentary

Fernando A. Atik, MD, Gosta B. Pettersson, MD, PhD

Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave/H35, Cleveland, OH44195

(Email: atikf@ccf.org).

The first 20% of the full text of this article appears below.

The article by Horer and colleagues [1] addresses the issue of total correction of tetralogy of Fallot (TOF) in adult patients. A few TOF patients remain undiagnosed into adulthood and another subset escape repair for different reasons, some after previous palliative procedures, which is true for more than one third of Horer and colleagues' [1] patients, usually more than a decade before the total correction.

It seems that operative mortality is higher, and long-term outcomes are worse after adulthood repair compared with repairs in infancy. How different is the correction in adults? Why should we expect a higher risk . . . [Full Text of this Article]






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