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Updated: Feb 12, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Tetralogy of Fallot with critical biventricular dysfunction: is surgical correction achievable?
Grégoire Cousin1, Miarisoa Ratsimandresy1, Bertrand Leobon1
1Congenital Cardiac Surgery Department, Toulouse University Children's Hospital, Toulouse, France.
Abstract:
We describe the case of a 32-month-old patient from a developing country with tetralogy of Fallot associated with a severe biventricular dysfunction. This association is rare but makes the surgical strategy complex and potentially contraindicated. An acute severe hypoxic episode led us to perform palliative rescue intervention involving the placement of an undersized systemic-to-pulmonary shunt. This surgery was well tolerated and allowed a fast and impressive recovery of the ventricular function, making complete repair possible.
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