Tetralogy of Fallot
Anywhere in the world, it is exceedingly rare to encounter a patient who has survived to adulthood with unoperated tetralogy of Fallot. Almost as rare is to see a patient with palliated tetralogy of Fallot who has undergone a series of systemic-to-pulmonary artery shunts without complete repair. In most cases, these patients tend to have had complex tetralogy with pulmonary atresia and major aortopulmonary collateral arteries deemed unsuitable for repair.
KeywordsAdult congenital heart surgery Tetralogy repair in the adult Pulmonary valve sparing techniques
Patent foramen ovale
Right ventricular outflow tract
Ventricular septal defect