In patients with the tetralogy of Fallot, open heart surgery has advantages over the palliative operations permitted by older techniques because it is generally able to correct the underlying defect of the interventricular septum. This report concerns 10 consecutive patients in whom the defects were completely corrected with use of a heart-lung machine capable of oxygenating and delivering more than 5 liters of blood per minute. Details of anesthetic and surgical procedure are given. The period of cardiopulmonary bypass lasted from 22 to 49 minutes. There was one operative death. The nine other patients showed striking improvement. Most striking was that seen in a woman, aged 32, formerly a bedridden invalid, who after operation was able to do her own housework and work full time as a saleslady. Since further reduction of operative mortality is anticipated, the new technique greatly improves the prognosis of patients with the tetralogy of Fallot.
Kay JH, Anderson RM, Lewis RR, Meihus JE, Magidson O, Shapiro MJ. COMPLETE CORRECTION OF THE TETRALOGY OF FALLOT BY OPEN-HEART SURGERY. JAMA. 1959;170(7):792–794. doi:10.1001/jama.1959.03010070032008
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