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The role of cardiac catheterisation in patients with tetralogy of Fallot*

Published online by Cambridge University Press:  09 January 2014

Gary E. Stapleton
Gary E. Stapleton*
Affiliation:
Division of Pediatric Cardiology, All Children's Heart Institute, Outpatient Care Center, St. Petersburg, Florida, United States of America
*
Correspondence to: Dr Gary E Stapleton, MD, All Children's Heart Institute, Outpatient Care Center, 2nd Floor, 601 5th Street South, St. Petersburg Florida 33701, United States of America. +1 Tel: 727 767 3333; Fax: +1 727 767 8990; E-mail: [email protected]
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Abstract

Cardiac catheterisation plays an important role in the management of patients with tetralogy of Fallot. There are a number of palliative transcatheter interventions that can be performed in the neonatal period to allow for improved oxygen saturations and interval growth of the pulmonary arteries until corrective surgery is performed. Most patients develop branch pulmonary artery stenosis, right ventricular outflow tract obstruction, pulmonary insufficiency, or significant residual left-to-right shunts during long-term follow-up after corrective surgery. Transcatheter interventions can be performed to treat many of these issues, often eliminating or delaying the need for subsequent surgery. The indications for cardiac catheterisation and the specifics for various interventional procedures for patients with tetralogy of Fallot are reviewed in this manuscript.

Keywords

Cardiac catheterisationtetralogy of Fallot
Type
Original Article
Information
Cardiology in the Young , Volume 23 , Issue 6: HeartWeek 2013 , December 2013 , pp. 883 - 887
Copyright
Copyright © Cambridge University Press 2013 

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Footnotes

*

Presented at “The Birth of Heart Surgery: Lessons Learned from Tetralogy – Past, Present and Future” Dinner Symposium Sponsored by Johns Hopkins Medicine and All Children's Hospital, Thursday, February 21, 2013, at The Sixth World Congress of Paediatric Cardiology and Cardiac Surgery, Cape Town International Convention Centre, Cape Town, South Africa, February 17–22, 2013. A video of this presentation can be viewed at the following hyperlink: [http://www.allkids.org/wcpccs].

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