What is the treatment for Fallot's tetralogy ?
• Total correction under the age of 1 year when there is no need for an outflow transannular patch. A
second-stage total correction can be performed when the child is over the age of 2 years.
• Blalock-Taussig shunting is performed nowadays only if the anatomy is unfavourable for a total
correction.
• Modified Blalock-Taussig shunting is the interposition of a tubular graft between the subclavian and
pulmonary arteries.
• The Waterston shunt involves anastomosis of the back of the ascending aorta to the pulmonary
artery. A Waterston shunt is performed when surgery is required under the age of 3 months because
the subclavian artery is too small for a good Blalock-Taussig shunt.
• The Potts shunt involves anastomosis of the descending aorta to the back of the pulmonary artery
(JAMA1946; 132: 627).
• The Glenn operation involves anastomosis of the superior vena cava to the right pulmonary artery.
The bidirectional Glenn procedure involves anastomosis of the superior vena cava to both pulmonary
arteries.
• Pulmonary balloon valvuloplasty is sometimes used as an alternative to surgery.
Lexo edhe:
• Total correction under the age of 1 year when there is no need for an outflow transannular patch. A
second-stage total correction can be performed when the child is over the age of 2 years.
• Blalock-Taussig shunting is performed nowadays only if the anatomy is unfavourable for a total
correction.
• Modified Blalock-Taussig shunting is the interposition of a tubular graft between the subclavian and
pulmonary arteries.
• The Waterston shunt involves anastomosis of the back of the ascending aorta to the pulmonary
artery. A Waterston shunt is performed when surgery is required under the age of 3 months because
the subclavian artery is too small for a good Blalock-Taussig shunt.
• The Potts shunt involves anastomosis of the descending aorta to the back of the pulmonary artery
(JAMA1946; 132: 627).
• The Glenn operation involves anastomosis of the superior vena cava to the right pulmonary artery.
The bidirectional Glenn procedure involves anastomosis of the superior vena cava to both pulmonary
arteries.
• Pulmonary balloon valvuloplasty is sometimes used as an alternative to surgery.
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Lexo edhe: