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Outcomes of complete surgical repair versus palliative intervention in neonates with Tetralogy of Fallot

Pediatric Investigation 2022年第4期6卷 260-263页

作者： Mohammed Hamzah Hasan FOthman Krystel Chedid Mohammed Alsabri ibrahim qattea Hany Aly Department of Pediatric Critical Care Cleveland Clinic Children’sClevelandOhioUSA Department of Pediatrics Michigan State University/Sparrow Health SystemLansingMichiganUSA Department of Pediatrics Cleveland Clinic Children’sClevelandOhioUSA Department of Pediatrics Brookdale HospitalNew York CityNew YorkUSA Department of Neonatology Cleveland Clinic Children’sClevelandOhioUSA

The ideal surgical approach when managing neonates with Tetralogy of Fallot(TOF)is still controversial.1 In 1945,subclavian artery to pulmonary artery anastomosis was created as palliation for patients with TOF.2 A decade later,Lillehei et al.3 performed the first intracardiac repair for TOF with ventricular septal defect closure and right ventricular outflow obstruction *** surgical and perfusion techniques,as well as the postoperative care,have advanced and evolved since that *** that evolution,the two concepts of surgical interventions had remained the *** is still much debate on what is the ideal surgical approach to infants with TOF,an early primary surgical repair(EPSR)versus a two-staged surgical approach with either an initial temporary shunt for pulmonary blood flow or transcatheter cardiac *** aim of this study was to determine if one strategy had lower mortality than the other and to assess the hospital length of stay and cost of charge in the study groups.

关键词： surgical nates repair

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