Thorac Cardiovasc Surg 2025; 73(01): 003-009
DOI: 10.1055/a-2464-2846
Other

Fallot and Its Variants: From Diagnosis to Pulmonary Valve Replacement

André Rüffer
1   Department of Pediatric and Congenital Cardiac Surgery, University Hospital Aachen (RWTH), Aachen, Germany
,
Harald Bertram
2   Department of Pediatric Cardiology and Critical Care, Medizinische Hochschule Hannover (MHH), Hannover, Germany
› Institutsangaben

Abstract

In this article, we summarize the most important issues and recommendations on the anatomy and physiology of tetralogy-like lesions, diagnosis prior to medical, interventional, or surgical intervention, timing and types of interventions, management of high-risk patients, and the need for future interventions in a subset of patients. The long versions of the original guidelines are reprinted in the supplement, providing a more comprehensive overview and enabling a more detailed approach to tetralogy and its variants.



Publikationsverlauf

Eingereicht: 05. November 2024

Angenommen: 07. November 2024

Artikel online veröffentlicht:
13. Februar 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 AWMF S2k Leitlinien DGPK/DGTHG Fallot'sche Tetralogie und ihre Varianten. Thorac Cardiovasc Surg 2024; 72 (S4): S101-S155
  • 2 Khan SM, Drury NE, Stickley J. et al. Tetralogy of Fallot: morphological variations and implications for surgical repair. Eur J Cardiothorac Surg 2019; 56 (01) 101-109
  • 3 Tseng SY, Truong VT, Peck D. et al. Patent ductus arteriosus stent versus surgical aortopulmonary shunt for initial palliation of cyanotic congenital heart disease with ductal-dependent pulmonary blood flow: a systematic review and meta-analysis. J Am Heart Assoc 2022; 11 (13) e024721
  • 4 Miller JR, Stephens EH, Goldstone AB. et al; Expert Consensus Panel. The American Association for Thoracic Surgery (AATS) 2022 Expert Consensus Document: management of infants and neonates with tetralogy of Fallot. J Thorac Cardiovasc Surg 2023; 165 (01) 221-250
  • 5 Karl TR, Stocker C. Tetralogy of fallot and its variants. Pediatr Crit Care Med 2016; 17 (8 Suppl 1): S330-S336
  • 6 Vanderlaan RD, Barron DJ. Optimal surgical management of tetralogy of Fallot. CJC Pediatr Congenit Heart Dis 2023; 2 (6Part A): 352-360
  • 7 Bokma JP, Geva T, Sleeper LA. et al. Improved outcomes after pulmonary valve replacement in repaired tetralogy of Fallot. J Am Coll Cardiol 2023; 81 (21) 2075-2085