Tetralogy of Fallot: Anatomic Variants and Their Impact on Surgical Management
Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. In this condition, episodic worsening of hypoxemia results from dynamic shifts in physiology, so-called “Tet spells.” The relative frequency of this lesion and the risks of exacerbating “Tet spells” make anesthetic man...
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| Veröffentlicht in: | Seminars in cardiothoracic and vascular anesthesia 2012-06, Vol.16 (2), p.88-96 |
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| container_title | Seminars in cardiothoracic and vascular anesthesia |
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| creator | Sharkey, Angela M. Sharma, Anshuman |
| description | Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. In this condition, episodic worsening of hypoxemia results from dynamic shifts in physiology, so-called “Tet spells.” The relative frequency of this lesion and the risks of exacerbating “Tet spells” make anesthetic management of this patient population challenging. The conduct of palliative and reparative cardiac surgery is determined in large part by the anatomic variations within the spectrum of this disorder, most notably the severity of right ventricular outflow tract obstruction. This review will address the impact that the anatomic substrate has on the perioperative management of this interesting patient population. |
| doi_str_mv | 10.1177/1089253211434566 |
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This review will address the impact that the anatomic substrate has on the perioperative management of this interesting patient population.</description><identifier>ISSN: 1089-2532</identifier><identifier>EISSN: 1940-5596</identifier><identifier>DOI: 10.1177/1089253211434566</identifier><identifier>PMID: 22275348</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Anesthesia - methods ; Cardiac Surgical Procedures - methods ; Humans ; Hypoxia - etiology ; Perioperative Care - methods ; Severity of Illness Index ; Tetralogy of Fallot - epidemiology ; Tetralogy of Fallot - physiopathology ; Tetralogy of Fallot - surgery ; Ventricular Outflow Obstruction - pathology ; Ventricular Outflow Obstruction - surgery</subject><ispartof>Seminars in cardiothoracic and vascular anesthesia, 2012-06, Vol.16 (2), p.88-96</ispartof><rights>The Author(s) 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c290t-931552813d3ed22705196f2d07f69ec2db445b662f92f6b2fc86a60406284a5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1089253211434566$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1089253211434566$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21800,27903,27904,43599,43600</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22275348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sharkey, Angela M.</creatorcontrib><creatorcontrib>Sharma, Anshuman</creatorcontrib><title>Tetralogy of Fallot: Anatomic Variants and Their Impact on Surgical Management</title><title>Seminars in cardiothoracic and vascular anesthesia</title><addtitle>Semin Cardiothorac Vasc Anesth</addtitle><description>Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. 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This review will address the impact that the anatomic substrate has on the perioperative management of this interesting patient population.</description><subject>Anesthesia - methods</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Humans</subject><subject>Hypoxia - etiology</subject><subject>Perioperative Care - methods</subject><subject>Severity of Illness Index</subject><subject>Tetralogy of Fallot - epidemiology</subject><subject>Tetralogy of Fallot - physiopathology</subject><subject>Tetralogy of Fallot - surgery</subject><subject>Ventricular Outflow Obstruction - pathology</subject><subject>Ventricular Outflow Obstruction - surgery</subject><issn>1089-2532</issn><issn>1940-5596</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAQxS0EoqUwsTChjiyBu_NH4hFVFJAqsZQ5chK7apXWxU6G_ve4SmFAYrqT3u896T3G7hAeEfP8CaHQJDkhCi6kUmdsjFpAJqVW5-lPcnbUR-wqxg0AASG_ZCMiyiUXxZjdLm0XTOtXh6l307lpW99dswtn2mhvTnfCPucvy9lbtvh4fZ89L7KaNHSZ5iglFcgbbpsUCBK1ctRA7pS2NTWVELJSipwmpypydaGMAgGKCmFkwyfsYcjdB__V29iV23WsbduanfV9LBFQglZc84TCgNbBxxisK_dhvTXhkKDyOEX5d4pkuT-l99XWNr-Gn-4JyAYgmpUtN74Pu9T2_8BvVQ1h8w</recordid><startdate>201206</startdate><enddate>201206</enddate><creator>Sharkey, Angela M.</creator><creator>Sharma, Anshuman</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201206</creationdate><title>Tetralogy of Fallot</title><author>Sharkey, Angela M. ; Sharma, Anshuman</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c290t-931552813d3ed22705196f2d07f69ec2db445b662f92f6b2fc86a60406284a5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Anesthesia - methods</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Humans</topic><topic>Hypoxia - etiology</topic><topic>Perioperative Care - methods</topic><topic>Severity of Illness Index</topic><topic>Tetralogy of Fallot - epidemiology</topic><topic>Tetralogy of Fallot - physiopathology</topic><topic>Tetralogy of Fallot - surgery</topic><topic>Ventricular Outflow Obstruction - pathology</topic><topic>Ventricular Outflow Obstruction - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sharkey, Angela M.</creatorcontrib><creatorcontrib>Sharma, Anshuman</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in cardiothoracic and vascular anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sharkey, Angela M.</au><au>Sharma, Anshuman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tetralogy of Fallot: Anatomic Variants and Their Impact on Surgical Management</atitle><jtitle>Seminars in cardiothoracic and vascular anesthesia</jtitle><addtitle>Semin Cardiothorac Vasc Anesth</addtitle><date>2012-06</date><risdate>2012</risdate><volume>16</volume><issue>2</issue><spage>88</spage><epage>96</epage><pages>88-96</pages><issn>1089-2532</issn><eissn>1940-5596</eissn><abstract>Tetralogy of Fallot is the most common form of cyanotic congenital heart disease. 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| ispartof | Seminars in cardiothoracic and vascular anesthesia, 2012-06, Vol.16 (2), p.88-96 |
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| language | eng |
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| source | MEDLINE; SAGE Complete |
| subjects | Anesthesia - methods Cardiac Surgical Procedures - methods Humans Hypoxia - etiology Perioperative Care - methods Severity of Illness Index Tetralogy of Fallot - epidemiology Tetralogy of Fallot - physiopathology Tetralogy of Fallot - surgery Ventricular Outflow Obstruction - pathology Ventricular Outflow Obstruction - surgery |
| title | Tetralogy of Fallot: Anatomic Variants and Their Impact on Surgical Management |
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