Considerations in Timing of Surgical Repair in Tetralogy of Fallot.

CJC Pediatr Congenit Heart Dis

McGill University Health Center, Pediatric Cardiovascular Surgery, McGill University, Montreal, Québec, Canada.

Published: December 2023

Certain aspects of the treatment of tetralogy of Fallot (TOF) repair remain controversial. The optimal timing of the elective repair of asymptomatic patients and the ideal strategy for managing symptomatic neonates and infants with TOF are still debated despite years of experience in TOF treatment. In this article, we discuss why a surgical correction at 3-6 months of age is likely the ideal time frame for the elective repair of TOF. We also elaborate on our strategy for managing symptomatic neonates and infants with TOF and why we prefer an early single-stage primary repair.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10755837PMC
http://dx.doi.org/10.1016/j.cjcpc.2023.10.006DOI Listing

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