Total surgical correction of the tetralogy of Fallot remains a most challenging and difficult problem in cardiac surgery. The present study, like others, indicates that this lesion can be corrected, and excellent anatomical and haemodynamic results can be obtained with an acceptable mortality.
Results following total surgical correction in 45 consecutive patients are presented. The operative mortality was 13%. The causes of death are analysed. Certain uncommon severe associated defects adversely influenced the outcome of the operation. The great majority of surviving patients are improved. Postoperative haemodynamic studies in eight patients revealed gratifying results.
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