EDUCATION IN HEART
Congenital heart disease
Tetralogy of Fallot: from fetus to adult
1 Department Paediatric Cardiology, Royal Brompton Hospital, London, UK
2 Adult Congenital Heart Unit, Royal Brompton Hospital, London, UK
3 Brompton Fetal Cardiology, Royal Brompton Hospital, London, UK
Correspondence to:
Correspondence to:
Dr Elliot A Shinebourne
Paediatric Cardiology, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK; e.shinebourne@rbht.nhs.uk
Keywords: tetralogy of Fallot; fetal echocardiography; follow up; sudden death; restrictive right ventricle
| The first 150 words of the full text of this article appear below. |
Tetralogy of Fallot (ToF) occurs in approximately 1 in 3600 live births and accounts for 3.5% of infants born with congenital heart disease. Surgical repair was first introduced in the 1950s and there is now a large population of adults with repaired tetralogy. Many of the short term aspects of management have been resolved, although whether symptomatic neonates should undergo primary repair or first be palliated remains debatable. In 2001, independently validated data pooled from all 13 centres performing cardiac surgery in the United Kingdom indicated a 97% survival one year after operation.1 Other reports indicate that of patients alive 30 days after operation there is a 98% 20 year survival, and of those operated on as children 30 year survival is above 90%.2
This has focused attention on long-term follow up as many patients with repaired ToF are now middle-aged. Given that this population includes patients
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Article
-
Web Top 10
Heart 2006 92: 1691.[Extract] [Full Text] [PDF]
This article has been cited by other articles:
-
Wald, R. M., Redington, A. N., Pereira, A., Provost, Y. L., Paul, N. S., Oechslin, E. N., Silversides, C. K.
(2009). Refining the assessment of pulmonary regurgitation in adults after tetralogy of Fallot repair: should we be measuring regurgitant fraction or regurgitant volume?. Eur Heart J
30: 356-361
[Abstract] [Full Text]
- Full Text
- Full Text (PDF)
- web only references
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
BMJ Learning
Topic Collections
-
Congenital heart disease
-
Drugs: cardiovascular system
-
Bradyarrhythmias and heart block
-
Echocardiography
-
Interventional cardiology
- Relevant Article
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
