Al Mosa A, Bernier PL, Tchervenkov CI. Considerations in Timing of Surgical Repair in Tetralogy of Fallot.
CJC PEDIATRIC AND CONGENITAL HEART DISEASE 2023;
2:361-367. [PMID:
38161680 PMCID:
PMC10755837 DOI:
10.1016/j.cjcpc.2023.10.006]
[Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Accepted: 10/11/2023] [Indexed: 01/03/2024]
Abstract
Certain aspects of the treatment of tetralogy of Fallot (TOF) repair remain controversial. The optimal timing of the elective repair of asymptomatic patients and the ideal strategy for managing symptomatic neonates and infants with TOF are still debated despite years of experience in TOF treatment. In this article, we discuss why a surgical correction at 3-6 months of age is likely the ideal time frame for the elective repair of TOF. We also elaborate on our strategy for managing symptomatic neonates and infants with TOF and why we prefer an early single-stage primary repair.
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