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II. Articles and Features of General Interest

Total repair of tetralogy of Fallot in the adult

The Cleveland Clinic experience 1951—1981

Mark S. Kreindel, M.D., Douglas S. Moodie, M.D., Richard Sterba, M.D. and Carl C. Gill, M.D.
Cleveland Clinic Journal of Medicine September 1985, 52 (3) 375-381;
Mark S. Kreindel
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Douglas S. Moodie
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Richard Sterba
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Carl C. Gill
Departments of Cardiology and Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation.
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ABSTRACT

Between 1951 and 1981, 13 adult patients underwent total intracardiac repair of tetralogy of Fallot at the Cleveland Clinic. Mean age at the time of repair was 29.4 years (range 18—44 years). Eighty-five percent of the patients were classified preoperatively as New York Heart Association Functional Class III or IV. Three of the patients had had no previous palliation. Mean duration of follow-up was 49.4 months. There was no early or late mortality. Postoperatively all patients experienced a dramatic fall in right ventricular systolic pressure with no right ventricular outflow tract gradient. Postoperative arrhythmias severe enough to require treatment occurred in only two patients. These findings suggest that an aggressive surgical approach can be undertaken in adults with uncorrected tetralogy of Fallot.

Index terms
  • Heart defects
  • congenital
  • Heart surgery
  • Tetralogy of Fallot
  • Received December 1984.
  • Accepted March 1985.
  • Copyright © 1985 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 52 (3)
Cleveland Clinic Journal of Medicine
Vol. 52, Issue 3
21 Sep 1985
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Total repair of tetralogy of Fallot in the adult
Mark S. Kreindel, Douglas S. Moodie, Richard Sterba, Carl C. Gill
Cleveland Clinic Journal of Medicine Sep 1985, 52 (3) 375-381;

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Total repair of tetralogy of Fallot in the adult
Mark S. Kreindel, Douglas S. Moodie, Richard Sterba, Carl C. Gill
Cleveland Clinic Journal of Medicine Sep 1985, 52 (3) 375-381;
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Keywords

  • Heart defects
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