[Surgical management of Fallot's syndrome in young children (author's transl)]

Area of Science:

• Pediatric Surgery
• Cardiovascular Surgery
• Congenital Heart Disease

Context:

• Tetralogy of Fallot (TOF) is a complex congenital heart defect requiring surgical intervention in infants.
• Effective surgical management is crucial for improving outcomes in young children with TOF.
• Waterston's anastomosis is a palliative surgical technique used in TOF management.

Purpose:

• To report the surgical outcomes in 232 children under two years of age with Tetralogy of Fallot.
• To describe surgical techniques, including Waterston's right pulmonary artery to ascending aorta anastomosis.
• To analyze the causes and prevention of right lung overflow and indications for complete correction.

Summary:

• The study presents surgical results for 232 infants with Tetralogy of Fallot, emphasizing Waterston's anastomosis.
• It discusses the management of right lung overflow, a potential complication, and its prevention.
• The analysis includes indications for complete correction using extracorporeal circulation, with and without deep hypothermia.

Impact:

• Provides insights into surgical strategies for Tetralogy of Fallot in young children.
• Highlights the importance of managing potential complications like right lung overflow.
• Contributes to the understanding of complete correction techniques in pediatric cardiac surgery.