google_counter
background_img

Cardiosurgery: Tetralogy of Fallot (tof) — Complete intracardiac repair . Treatment

Fallot tetralogy is one of the most common defects of the heart, which is a combination of four anomalies, i.e. narrowing of the right ventricle output, hole in the interventricular septum, displacement of aorta to the right and hypertrophic changes of the right ventricle, emerging as a result of high blood pressure in the heart chambers. Hypoxia resulting from this defect is caused by mixing of venous and arterial blood, so the main visual feature of the disease is blueness (cyanosis) of the skin. According to statistics, Fallot tetralogy accounts for about 10% of all congenital anomalies of the heart structures.

Conservative Treatment

A conservative therapy is conducted to alleviate the disease symptoms, but it is only a preparation for surgical correction. To improve the patient’s condition, the following aid are prescribed:

  • oxygen inhalation;
  • aminophylline;
  • plasma expanders.

Fallot Tetralogy Surgical Correction

For young children with severe symptoms, the palliative interventions are usually indicated, which aim at improvement of condition for subsequent defect correction at a later age. These surgeries may imply:

  • creation of aorto-pulmonary anastomosis, which is used to improve the blood flow in the small circle of blood circulation;
  • creation of anastomosis between the subclavian and right pulmonary artery;
  • creation of anastomosis between the left pulmonary artery and the aorta;
  • balloon dilation of stenotic portion of the right ventricle.

Synthetic materials and specially treated animal tissues are used to create anastomoses.

The final correction of Fallot tetralogy is usually carried out when the child becomes 3 years old. A later the intervention usually gives worse results, but the final decision is made by a cardiac surgeon, based on the survey findings. The surgery is performed using the cardiopulmonary bypass and general hypothermia, which is required to increase the tissue resistance to hypoxia. Opening in the ventricular septum is closed by a patch overlay, aorta is moved leftward, and the narrowed segment of the right ventricle is expanded by plastic methods using an artificial prosthesis or modified xenopericardium.

Adequate treatment of the Fallot tetralogy symptoms and professional performance of surgical correction yields a favorable prognosis in 75-80% cases.

Read more
 

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #50059

The Department provides treanment for a whole spectrum of adult cardiac surgical diseases, with exception of the heart and lung transplantation.


location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #361513

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #78163

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery at the University Hospital Cologne ranks among the top German departments specializing in cardiac surgery! There are performed over 2,800 operations every year.


location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Department of Adult and Pediatric Cardiovascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #383040

The Department of Adult and Pediatric Cardiovascular Surgery offers the full range of services in this medical focus. The department specializes in heart valves surgery, coronary artery bypass grafting, surgical treatment of cardiac arrhythmias and heart failure.


location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Muenster

9.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #139935

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #74749

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificatecertificatecertificate

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #89873

The cardiac surgery department of the Hirslanden clinic Aarau was rebuilt since Prof. Dr. med. Thierry Carrel and PD Dr. med Lars Englberger worked here. Both of them are recognized cardiac experts. Prof. Carrel is the director at Inselspital and PD Dr.


location_onCountry: Switzerland
location_searchingCity: Aarau
certificatecertificate

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #245229

The Department of Cardiac, Thoracic, Transplantation and Vascular Surgery at the Hannover Medical School is famous for being one of the leading medical facilities in the world.


location_onCountry: Germany
location_searchingCity: Hannover

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #327464

The Department of Cardiac Surgery at Rambam Health Care Campus specializes in performing open and closed heart operations. There is offered a broad spectrum of surgical heart procedures, while the most common of these are coronary artery bypass surgery, valvular heart surgery and a combination of the two.


location_onCountry: Israel
location_searchingCity: Haifa

University Hospital Essen

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #292051

The Department of Thoracic and Cardiovascular Surgery at the Essen University Hospital offers the full range of services in the treatment of heart diseases, requiring surgery, including transplant of chest organs, heart and lung support systems and aortic surgery.


location_onCountry: Germany
location_searchingCity: Essen

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #106305

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.


location_onCountry: Germany
location_searchingCity: Aachen
certificatecertificatecertificatecertificate

University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #82705

The Department of Cardiovascular Surgery at the University Hospital Dusseldorf provides the whole range of cardiovascular medicine at the university level. The Department has a long and successful history. Since 1938 more than 50,000 cadiac surgeries were performed here.


location_onCountry: Germany
location_searchingCity: Duesseldorf
certificatecertificatecertificatecertificate

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #88315

The Department of Cardiac Surgery offers the complete spectrum of cardiac surgery services except heart transplantation.


location_onCountry: Germany
location_searchingCity: Bonn
certificatecertificatecertificate

University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #137453

The range of surgical services of the Department of Thoracic and Cardiovascular Surgery at the University Hospital Tubingen covers all surgical and interventional operations in the corresponding fields up to the transplant surgery.


location_onCountry: Germany
location_searchingCity: Tuebingen
certificatecertificate

University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes

Department of Cardiovascular Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #298639

The Department of Cardiovascular Surgery at the University Medical Center Hamburg-Eppendorf covers the full range of heart diseases requiring surgery – from children with congenital defects up to older patients.


location_onCountry: Germany
location_searchingCity: Hamburg

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

Treatment of tetralogy of Fallot with complete intracardiac repair (corrective surgery) #154665

Performing annually more than 1000 surgeries on the heart, the department of cardiac surgery belongs to the largest centers of cardiac surgery in Munich. Here, the whole range of cardiovascular diseases is treated in adult patients, from emergency cases to heart attack.


location_onCountry: Germany
location_searchingCity: Munich




Feedback of our customers from other resources

Need Help?

Need Help?

Thank you!

We received your treatment application in the best Europe clinics. Our manager will contact you within the next 24 hours.