TY  - CHAP
M1  - Book, Section
TI  - Tetralogy of Fallot
A1  - Bianchi, Diana W.
A1  - Crombleholme, Timothy M.
A1  - D'Alton, Mary E.
A1  - Malone, Fergal D.
Y1  - 2015
N1  - 
T2  - Fetology: Diagnosis and Management of the Fetal Patient, 2e
AB  - Key  PointsTetralogy  of  Fallot  is  a  complex  congenital  cardiac  malformation  consisting  of  varying  degrees  of  right  ventricular  outflow  tract  obstruction,  ventricular  septal  defect,  overriding  aorta  and  right  ventricular  hypertrophy  (although  the  latter  is  generally  not  present  in  fetal  life).Prenatal  diagnosis  generally  requires  careful  evaluation  of  cardiac  outflow  tracts,  including  discontinuity  between  ventricular  septum  and  aortic  outflow,  as  well  as  a  relatively  small  pulmonary  outflow.Testing  for  fetal  karyotype  and  22q11  deletion  is  recommended.Infants  should  be  delivered  in  a  controlled  setting  with  ability  to  provide  prostaglandin  infusion  and  prompt  pediatric  cardiology  availability.While  initial  palliation  with  a  systemic-to-pulmonary  arterial  shunt  may  be  required,  many  centers  today  perform  definitive  complete  surgical  correction  within  the  first  6  months  of  life.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - obgyn.mhmedical.com/content.aspx?aid=1106398194
ER  -