Surgical treatment of infants with severe form of tetralogy of Fallot

Morsina M.G.; Voitov A.V.; Arkhipov A.N.; Bogachev-Prokofiev A.V.; Soynov I.A.

doi:https://doi.org/10.17116/kardio202518041445

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Abstract:

Controversies regarding the most optimal surgical treatment of tetralogy of Fallot arise due to different morphological forms of this lesion, and each one requires individual approach. The objectives of each approach are preservation of right ventricular function, reduction of mortality and number of repeated surgical interventions in long-term period. The most of patients have favorable tetralogy of Fallot anatomy, and primary complete repair at 3—9 months of age is optimal treatment strategy with excellent results in these cases. However, high-risk infants are the greater problem. These are desaturated, low-birth-weight, comorbid children, and anatomical correction is associated with high rate of complications and mortality. Optimal method of staged treatment is still unclear. This review presents the most significant studies on surgery for tetralogy of Fallot, current trends and characteristics of each method of surgical treatment.

Keywords:

tetralogy of Fallot

staged repair

modified Blalock—Taussig shunt

stenting of the right ventricular outflow tract

Authors:

Morsina M.G.

Meshalkin National Medical Research Center

ORCID: 0000-0003-3870-169X

Voitov A.V.

Meshalkin National Medical Research Center

ORCID: 0000-0003-3797-4899

Arkhipov A.N.

National Medical Research Center

ORCID: 0000-0003-3234-5436

Bogachev-Prokofiev A.V.

Meshalkin National Medical Research Center

SPIN RSCI: 4448-6999
Scopus AuthorID: 55846629000
ResearcherID: L-7881-2014
ORCID: 0000-0003-4625-4631

Soynov I.A.

Meshalkin National Medical Research Center

ORCID: 0000-0003-3691-2848

Received:

28.03.2024

Accepted:

10.04.2024

Close metadata

References:

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