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Ann Thorac Surg 2008;86:1935-1936. doi:10.1016/j.athoracsur.2008.10.017
© 2008 The Society of Thoracic Surgeons
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Kristine J. Guleserian
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Original Articles: Pediatric Cardiac

Invited Commentary

Kristine J. Guleserian, MD

Division of Pediatric Cardiothoracic Surgery, Children's Medical Center, 1935 Medical District Dr, Suite C3211, Dallas, TX 75235

(Email: kristine.guleserian@utsouthwestern.edu).

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

Although it has been well over 50 years since Lillehei's historic first successful intracardiac repair for tetralogy of Fallot (ToF) in a 10-month-old infant using cross circulation [1], surgical techniques continue to evolve and controversy related to surgical strategy persists. The optimal timing of repair and the ideal surgical approach for both the symptomatic and asymptomatic neonate and infant remain areas of ongoing debate.

Restoration of normal cardiovascular anatomy and physiology with early primary repair has been advocated since the earliest reports by such pioneers as Barratt-Boyes and Castaneda [2, 3]. Alleviation of chronic cyanosis, optimization of the developing myocardium, promotion of somatic growth and organ development, particularly with respect to pulmonary vasculature and central nervous system, elimination of the substrate for right ventricular hypertrophy (RVH), and avoidance of the nontrivial risks . . . [Full Text of this Article]


Related Article

Early Primary Repair of Tetralogy of Fallot in Neonates and Infants Less Than Four Months of Age
Melanie I. Tamesberger, Evelyn Lechner, Rudolf Mair, Anna Hofer, Eva Sames-Dolzer, and Gerald Tulzer
Ann. Thorac. Surg. 2008 86: 1928-1935. [Abstract] [Full Text] [PDF]





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