Considerations in Timing of Surgical Repair in Tetralogy of Fallot

Alqasem Al Mosa MD , Pierre-Luc Bernier MD, MPH, FRCSC , Christo I. Tchervenkov MD, FRCSC
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引用次数: 1

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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法洛四联症手术修复时机的考虑
法洛四联症(TOF)修复治疗的某些方面仍存在争议。尽管有多年的TOF治疗经验,但无症状患者择期修复的最佳时机和治疗有症状的新生儿和TOF婴儿的理想策略仍然存在争议。在这篇文章中,我们讨论了为什么在3-6个月大时进行手术矫正可能是选择性修复TOF的理想时间框架。我们还详细阐述了我们的策略管理有症状的新生儿和TOF婴儿,以及为什么我们更喜欢早期单阶段初级修复。
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