RUOLO ATTUALE DEGLI INTERVENTI PALLIATIVI NEL TRATTAMENTO CHIRURGICO DELLA TETRALOGIA DI FALLOT. A PROPOSITO DI 172 CASI OPERATI

Translated title of the contribution: The current role of palliative operations in the surgical treatment of tetralogy of Fallot. A report on 172 operated cases

T. Bianchi, R. Tiraboschi, V. Vanini, G. Locatelli, B. Branchini, G. di Benedetto, M. Villani, O. Alfieri, P. Annecchino, P. Ferrazzi, G. C. Crupi, G. Invernizzi, A. M. Funiciello, L. Parenzan

Research output: Contribution to journalArticle

Abstract

172 consecutive palliative operations in patients with Fallot's tetralogy are presented. 19% of the patients were aged less than 6 mth and 45% less than 12 mth. The overall mortality was 5.8%, but has been recently reduced with the improvement of anaesthesiologic and technical experience. In fact, during the last two yr, 69 Waterston shunts (33 less than 12 mth, and 17 less than 6 mth old) were performed with no deaths. On the grounds of this experience, indications of the different types of systemic to pulmonary artery shunts are discussed, as well as problems related to the choice between one stage and two stage surgical correction. The authors' opinion is that palliative procedures still play an important role in the treatment of Fallot's tetralogy, although the future approach may well be early total correction. In their experience, the last approach is restricted to children over 18-24 mth of age with favorable anatomy, and to all patients over 4 yr of age.

Original languageItalian
Pages (from-to)877-892
Number of pages16
JournalGiornale Italiano di Cardiologia
Volume5
Issue number6
Publication statusPublished - 1975

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Bianchi, T., Tiraboschi, R., Vanini, V., Locatelli, G., Branchini, B., di Benedetto, G., Villani, M., Alfieri, O., Annecchino, P., Ferrazzi, P., Crupi, G. C., Invernizzi, G., Funiciello, A. M., & Parenzan, L. (1975). RUOLO ATTUALE DEGLI INTERVENTI PALLIATIVI NEL TRATTAMENTO CHIRURGICO DELLA TETRALOGIA DI FALLOT. A PROPOSITO DI 172 CASI OPERATI. Giornale Italiano di Cardiologia, 5(6), 877-892.