November 23, 1970

The Tetralogy of Fallot: From a Surgical Viewpoint

Author Affiliations

Duke University Durham, NC


by John W. Kirklin and Robert B. Karp, 189 pp, 88 illus, $13, Canada $14.05, Philadelphia: W. B. Saunders Co., 1970.

JAMA. 1970;214(8):1567-1568. doi:10.1001/jama.1970.03180080147043

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This excellent monograph is a much needed contribution in the field of cardiovascular surgery. Moreover, it is written by authors who possess impressive qualifications to present this important subject.

The introduction provides a concise and yet complete discussion of the historical development of the surgical correction of the tetralogy of Fallot. The first chapter defines the tetralogy in a meaningful and understandable manner, a fact of considerable importance in current cardiovascular surgery. The anatomy of the various types of malformation which can occur is beautifully described and illustrated in appropriate angiocardiograms and specimens. Especial emphasis is placed upon the hemodynamics with tracings of the pressure curves and oximetry records. The clinical features and diagnosis, presented in detail, are most commendable.

The major aspect of this monograph is quite properly devoted to both the principles and details of open intracardiac operation for correction of the tetralogy. Both the description and illustrations