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KMID : 0364020120450040213
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Korean Journal of Thoracic and Cardiovascular Surgery
2012 Volume.45 No. 4 p.213 ~ p.224
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Tetralogy of Fallot: A Surgical Perspective
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Karl Tom R.
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Abstract
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Tetralogy of Fallot (TOF) is an index lesion for all paediatric and congenital heart surgeons. In designing an appropriate operation for children with TOF, the predicted postoperative physiology must be taken into account, both for the short and long term. A favourable balance between pulmonary stenosis (PS) and pulmonary insufficiency (PI) may be critical for preservation of biventricular function. A unified repair strategy to limit both residual PS and PI is presented, along with supportive experimental evidence. A strategy for dealing with coronary anomalies and some comments regarding best timing of operation are also included.
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KEYWORD
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Tetralogy of Fallot, Right ventricle, Pulmonary valve, Surgical repair
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