Echocardiography tetralogy of Fallot
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2015
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Surgical correction of tetralogy of Fallot is still one of the most frequently performed inter vention in pediatric cardiac surgery, and in many cases, it is far from being a complete
and definitive correction. It is rather an excellent palliation that solves the problem of
cyanosis, but predisposes the patients to medical and surgical complications during follow up.The decision-making process regarding the treatment of late sequel is among the most
discussed topics in adult congenital cardiology. In post-operative Fallot patients, echocar diography is used as the first method of diagnostic imaging and currently allows both a
qualitative observation of the anatomical alterations and a detailed quantification of right
ventricular volumes and function, of the right ventricular outflow tract, and of the pulmonary
valve and pulmonary arteries.The literature introduced many quantitative echocardiographic
criteria useful for the understanding of the pathophysiological mechanisms involving the
right ventricle and those have made much more objective any decision-making processes.