Document Detail

Unusual cardiac associations with Tetralogy of Fallot-a descriptive study.
MedLine Citation:
PMID:  20405116     Owner:  NLM     Status:  MEDLINE    
We present a large single-center series (>2200 cases) operated for Tetralogy of Fallot (TOF). We analyzed the incidence of associated unusual and uncommonly described cardiac lesions and their diagnostic and therapeutic implications in TOF patients. This retrospective study was conducted by reviewing records of patients operated for TOF at a large tertiary care pediatric cardiac centre. From 2002 to 2008, a total of 2235 cases of TOF were evaluated with echocardiography, cardiac catheterization, and/or cardiac computed tomography followed by cardiac surgery. Known and well-described associations were excluded from the study. Unusual associations were tabulated. Several unusual associations having an incidence >0.1% were detected. These included subaortic membrane (1%), pulmonary venous abnormalities (0.5%), small left ventricle (0.5%), interrupted inferior vena cava (0.5%), mitral valve abnormalities (0.4%), hemitruncus (0.4%), tricuspid valve abnormalities (0.4%), biventricular dysfunction (0.3%), retroaortic innominate vein (0.3%), bicuspid aortic valve (0.2%), and pericardial effusion (0.2%). This series describes unusual, not previously routinely reported cardiac lesions associated with TOF that may affect management and should be sought on preoperative evaluation. We demonstrate that more unusual associations do exist in not infrequent numbers, i.e., a TET is not just a TET.
Vishal Changela; Colin John; Sunita Maheshwari
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-04-20
Journal Detail:
Title:  Pediatric cardiology     Volume:  31     ISSN:  1432-1971     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-11-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  785-91     Citation Subset:  IM    
Department of Pediatric Cardiology, Narayana Hrudayalaya Institute of Medical Sciences, Room no-7, 258/A-Bommasandra Industrial Area, Anekal Taluk, Hosur Road, Bangalore 560099, India.
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MeSH Terms
Abnormalities, Multiple / diagnosis*,  epidemiology
Cardiac Surgical Procedures*
Child, Preschool
Heart Catheterization
Heart Valves / abnormalities*
Heart Ventricles / abnormalities*
India / epidemiology
Infant, Newborn
Middle Aged
Pulmonary Veins / abnormalities*
Retrospective Studies
Tetralogy of Fallot / diagnosis*,  surgery
Tomography, X-Ray Computed
Vena Cava, Inferior / abnormalities*
Young Adult

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