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Manual of Cardiac Surgery pp 288–302Cite as

Tetralogy of Fallot

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Part of the book series: Comprehensive Manuals of Surgical Specialties ((CMSS))

Abstract

It is now a quarter century since total correction of tetralogy of Fallot was first reported by Lillehei41 and demonstrated to be a feasible, low-risk operation by Kirklin.33 During that time significant advances have occurred. Such advances, however, have not completely resolved the continuing controversy over when surgical intervention is indicated and what surgical approach should be taken-the two-stage approach of a palliative procedure to increase pulmonary blood flow followed by later total correction or the one-stage approach of primary total correction. Whatever approach is taken, surgery has an extremely important role in tetralogy of Fallot. The life expectancy without surgery is extremely poor: one-third of patients will die before 1 year. half before 3 years, and only one-quarter will live to 10 years.6

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Authors and Affiliations

  1. Division of Cardiopulmonary Surgery, University of Oregon Health Sciences Center, 97201, Portland, Oregon, USA

    Bradley J. Harlan M.D. (Associate Professor of Surgery) & Albert Starr M.D. (Professor of Surgery and Chief)

  2. 9101 S. W. 15th Avenue, 97219, Portland, Oregon, USA

    Fredric M. Harwin B.F.A., M.S. (Medical Illustrator)

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  1. Bradley J. Harlan M.D.
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  2. Albert Starr M.D.
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  3. Fredric M. Harwin B.F.A., M.S.
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© 1981 Springer Science+Business Media New York

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Harlan, B.J., Starr, A., Harwin, F.M. (1981). Tetralogy of Fallot. In: Manual of Cardiac Surgery. Comprehensive Manuals of Surgical Specialties. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4118-6_9

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  • DOI: https://doi.org/10.1007/978-1-4757-4118-6_9

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-4120-9

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