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Published on: July 18, 2014
Late presenting tetralogy of Fallot-surgical management
Sachin Talwar1, Niwin George1,2, Vishal Vinayak Bhende3
1Department of Cardiothoracic & Vascular Surgery, Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, 110029 India.
Abstract:
Late presentation of tetralogy of Fallot (TOF) poses unique diagnostic and management challenges, differing significantly from those diagnosed and treated in infancy. This review discusses the definition and natural history of late-presenting TOF, emphasizing the surgical and perioperative considerations specific to this population. We also explore the role of phlebotomy in managing polycythemic patients, a practice not universally adopted, and highlight postoperative challenges, including residual defects and complications. While discussing the surgical correction of TOF, we analyse the outcomes of specific strategies and the role of elective pulmonary valve replacement in adult patients. This comprehensive overview aims to shed light on the nuances of managing these complex cases.
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