eMedicine Specialties > Radiology > Cardiac

Tetralogy of Fallot: Follow-up

Author: S Bruce Greenberg, MD, Professor of Radiology, University of Arkansas for Medical Sciences; Consulting Staff, Department of Radiology, Arkansas Children's Hospital
Contributor Information and Disclosures

Updated: Aug 21, 2007

Intervention

Palliative and corrective surgery is the primary treatment for tetralogy of Fallot. Interventional procedures have a supportive role. Balloon angioplasty that is performed to enlarge the pulmonary outflow tract can sufficiently improve the pulmonary circulation and allow surgery to be delayed until the infant grows large enough to improve the surgical risk. In the treatment of postoperative pulmonary arterial stenosis treatment in children, balloon angioplasty and stent placement are becoming increasingly important. In select patients, embolization of the systemic collateral arteries helps to improve pulmonary arterial flow and development.

 


More on Tetralogy of Fallot

Overview: Tetralogy of Fallot
Imaging: Tetralogy of Fallot
Follow-up: Tetralogy of Fallot
Multimedia: Tetralogy of Fallot
References
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References

  1. Kirklin JW, Barratt-Boyes BG, eds. Tetralogy of Fallot with pulmonary stenosis. Cardiac Surgery. 2nd ed. New York, NY: Churchill Livingston; 1993:863-942.

  2. Bernardes RJ, Marchiori E, Bernardes PM, et al. A comparison of magnetic resonance angiography with conventional angiography in the diagnosis of tetralogy of Fallot. Cardiol Young. Jun 2006;16(3):281-8. [Medline].

  3. Bockeria LA, Podzolkov VP, Makhachev OA, et al. Surgical correction of tetralogy of Fallot with unilateral absence of pulmonary artery. Ann Thorac Surg. Feb 2007;83(2):613-8. [Medline].

  4. Chen SJ, Lin MT, Lee WJ, et al. Coronary artery anatomy in children with congenital heart disease by computed tomography. Int J Cardiol. Sep 3 2007;120(3):363-70. [Medline].

  5. Fairley SL, Sands AJ, Wilson CM. Uncorrected tetralogy of Fallot: adult presentation in the 61st year of life. Int J Cardiol. Aug 7 2007;epub ahead of print. [Medline].

  6. Gengsakul A, Harris L, Bradley TJ, et al. The impact of pulmonary valve replacement after tetralogy of Fallot repair: a matched comparison. Eur J Cardiothorac Surg. Sep 2007;32(3):462-8. [Medline].

  7. Greenberg SB, Faerber EN, Balsara RK. Tetralogy of Fallot: diagnostic imaging after palliative and corrective surgery. J Thorac Imaging. 1995;10(1):26-35. [Medline].

  8. Grison A, Maschietto N, Reffo E, et al. Three-dimensional echocardiographic evaluation of right ventricular volume and function in pediatric patients: validation of the technique. J Am Soc Echocardiogr. Aug 2007;20(8):921-9. [Medline].

  9. Harris MA, Valmorida JN. Neonates with congenital heart disease, Part III: Congenital cardiac defects with decreased pulmonary blood flow. Neonatal Netw. Mar 1997;16(2):59-63. [Medline].

  10. Hastreiter AR, D'Cruz IA, Cantez T, Namin EP, Licata R. Right-sided aorta. I. Occurrence of right aortic arch in various types of congenital heart disease. II. Right aortic arch, right descending aorta, and associated anomalies. Br Heart J. Nov 1966;28(6):722-39. [Medline]. [Full Text].

  11. Higgins CB, Silverman NH, Kersting-Sommerhoff BA, eds. Right heart obstructive lesions. Congenital Heart Disease: Echocardiography and Magnetic Resonance Imaging. Philadelphia, Pa: Raven Press; 1990:211-34.

  12. Hung JH, Lu JH, Hung CY. Prenatal diagnosis of complete atrioventricular canal associated with tetralogy of fallot. J Clin Ultrasound. Jul 30 2007;epub ahead of print. [Medline].

  13. Hövels-Gürich HH, Konrad K, Skorzenski D, et al. Long-term behavior and quality of life after corrective cardiac surgery in infancy for tetralogy of Fallot or ventricular septal defect. Pediatr Cardiol. Jul 12 2007;epub ahead of print. [Medline].

  14. Li JS, Yow E, Berezny KY, et al. Clinical outcomes of palliative surgery including a systemic-to-pulmonary artery shunt in infants with cyanotic congenital heart disease: does aspirin make a difference?. Circulation. Jul 17 2007;116(3):293-7. [Medline]. [Full Text].

  15. Lim DS, Dent JM, Gutgesell HP, Matherne GP, Kron IL. Transesophageal echocardiographic guidance for surgical repair of aortic insufficiency in congenital heart disease. J Am Soc Echocardiogr. Jun 19 2007;epub ahead of print. [Medline].

  16. Neches WH, Park SC, Ettedgui JA. Tetralogy of Fallot with pulmonary atresia. In: Garson A, Bricker JT, Fisher DJ, Neish SR, eds. Science and Practice of Pediatric Cardiology. 2nd ed. Baltimore, Md: Williams & Wilkins; 1998:1383-411.

  17. Oosterhof T, van Straten A, Vliegen HW, et al. Preoperative thresholds for pulmonary valve replacement in patients with corrected tetralogy of Fallot using cardiovascular magnetic resonance. Circulation. Jul 31 2007;116(5):545-51. [Medline].

  18. Patel CR, Smith GL, Lane JR. Tetralogy of Fallot with an aortopulmonary septal defect: prenatal diagnosis. J Ultrasound Med. Aug 2007;26(8):1115-7. [Medline].

  19. Sivakumar K, Krishnan P, Pieris R, Francis E. Hybrid approach to surgical correction of tetralogy of Fallot in all patients with functioning Blalock Taussig shunts. Catheter Cardiovasc Interv. Aug 1 2007;70(2):256-64. [Medline].

  20. Strife JL, Bisset GS III. Congenital aortic arch anomalies. In: Kirks DR, Griscom NT, eds. Practical Pediatric Imaging: Diagnostic Radiology of Infants and Children. 3rd ed. Philadelphia, Pa: Lippincott-Raven; 1998:487-8.

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Further Reading

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Keywords

cyanotic congenital heart disease, right ventricular outflow tract obstruction, malalignment ventricular septal defect, overriding aorta, right ventricular hypertrophy

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Contributor Information and Disclosures

Author

S Bruce Greenberg, MD, Professor of Radiology, University of Arkansas for Medical Sciences; Consulting Staff, Department of Radiology, Arkansas Children's Hospital
S Bruce Greenberg, MD is a member of the following medical societies: Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Justin D Pearlman, MD, PhD, ME, MA, Director of Dartmouth Advanced Imaging Center, Professor of Medicine, Professor of Radiology, Adjunct Professor, Thayer Bioengineering and Computer Science, Dartmouth-Hitchcock Medical Center
Justin D Pearlman, MD, PhD, ME, MA is a member of the following medical societies: American College of Cardiology, American College of Physicians, American Federation for Medical Research, International Society for Magnetic Resonance in Medicine, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Robert M Steiner, MD, Professor of Radiology, Temple University School of Medicine, Clinical Professor of Radiology, Medical School of the University of Pennsylvania; Consulting Radiologist, Temple University Hospital, Temple University Children's Medical Center
Robert M Steiner, MD is a member of the following medical societies: American College of Cardiology, American College of Chest Physicians, American College of Radiology, American Heart Association, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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