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Japanese

Tetralogy of Fallot. Surgical correction and its related clinical manifestations. Kazumi Taguchi 1 1Head, Dept. of Cardiovascular Surgery, Hiroshima Citizens Hospital. pp.605-612
Published Date 1962/9/15
DOI https://doi.org/10.11477/mf.1404201128
  • Abstract
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The author described various clinical manifestations of tetralogy of Fallot and its key points of corrective surgery in the open hearts from the broad experiences of over 200 cases during the past 9 years. In the recent series of 41 cases of corrective surgery and 59 cases of shunt operation during the past one year, the mortality was only 7.7% and 7.2%, res-pectively.

1. Surgical anatomy of tetralogy of Fallot. In this item, the author demonstrated a new classification of tetralogy of Fallot, in which type A—G were subdivided.

2. Clinical methods for surgical indications. Hemodynamical methods to evaluate the surgical indications have no valuable suggestion. On the contrary, the selective cardioan-giography, wedge pulmonary arteriography and selective aortography were methods of ch-oice to select the patients for the candidates of corrective surgery in the open hearts.

3. Key points of corrective surgery. A newly developed procedure for corrective surgery, application of controlled hypothermic selective cardiac cooling and special techniques of extracorporeal circulation in this special lesions were demonstrated.

4. Prolonged postoperative treatments in avoidance of chronic postoperative right ventri-cular failure was also essential.


Copyright © 1962, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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