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.
|Number of pages||16|
|Journal||Giornale Italiano di Cardiologia|
|Publication status||Published - 1975|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine