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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References
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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
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