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

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.

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HELIOS Cardiosurgery Clinic Karlsruhe

9.9/10 from 17 Votes

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

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


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Karlsruhe

Price 38103.00

University Hospital Cologne

8.3/10 from 82 Votes

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

The Department of Cardiothoracic Surgery of the Heart Center of Cologne at the University Hospital Cologne under the direction of Univ. -Prof. Dr. Thorsten Wahlers performs over 2,800 operations every year. 1,700 of them are performed with the use of the cardiopulmonary bypass.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 45729.00

RWTH University Hospital Aachen

9.5/10 from 41 Votes

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

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.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen

Price 46178.00

University Hospital Frankfurt

7.5/10 from 97 Votes

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

The Department of Thoracic, Cardiac and Thoracic Vascular Surgery at the University Hospital Frankfurt is a distinguished institution in this field of medicine. The Department specializes in coronary artery bypass syrgery, heart valve surgery, aortic surgery, lung surgery and transplant surgery.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 53729.00

University Hospital Heidelberg

9/10 from 57 Votes

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

The Department of Cardiac Surgery at the Heidelberg University Hospital offers an excellent university medicine. The Department provides treatment and aftercare to more than 2,500 patients every year.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg

Charite University Hospital Berlin

9/10 from 95 Votes

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

The Department of Cardiovascular Surgery at the University Hospital Charite Berlin is located at the Charite Mitte Campus. It is a state-of-the-art clinic with a long history. All congenital and acquired diseases of the heart and surrounding vessels are operated on here.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 65310.00

University Hospital Wurzburg

9.2/10 from 38 Votes

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

The Clinic of Thoracic Surgery, Cardiac Surgery and Vascular Surgery offers surgical treatment of all congenital and acquired diseases of the heart and lungs in adulthood, including the heart transplantation.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg

Price 46258.00

Hirslanden Hospital Aarau

9.9/10 from 15 Votes

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

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.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Aarau

Hannover Medical School, MHH

9.8/10 from 43 Votes

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

Department of Thoracic, Transplant, Vascular and Cardiosurgery is one of the excellent clinics of the Medical University of Hannover.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover

Price 46056.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

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

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.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

Price 53731.00

University Hospital Halle (Saale)

9.5/10 from 78 Votes

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

Department of Cardiac and Thoracic Surgery at the University Hospital of Halle (Saale) is a partner of the German Foundation for Heart Disease and has a long-lasting experience in treatment of senior patients which sustained a cardiac surgery.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle

Price 45764.00

University Hospital Tubingen

9.2/10 from 55 Votes

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

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.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Tuebingen

Price 45908.00

Städtisches Klinikum Bogenhausen

9.2/10 from 43 Votes

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

The department of cardiosurgery treats patients with congenital or acquired heart defects and with heart tumors or diseases of the aorta, such as aortic aneurysm or laceration of the aortic wall. Specialization of the clinic is coronary bypass operations using both internal thoracic arteries.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 41975.00

University Hospital Erlangen

9/10 from 51 Votes

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

Cardiac Surgery Clinic at Erlangen University Clinic performs about 1,600 surgeries on the heart and vessels close to it annually, including approximately 1,100 surgeries using a heart-lung machine, performed in the open heart. The operational capacity includes 3 operating rooms at Erlangen University Clinic.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Erlangen

Price 53815.00

St. Anna Hospital

9/10 from 3 Votes

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

The St. Anna acute hospital and its team of cardiologists are reorganising its range of services about cardiovascular diseases, and its new cardiac centre now offers a modern interdisciplinary network with a full range of cardiology facilities - including emergency treatment and a 24-hour catheter l...


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Lucerne

Clinique La Colline

8.9/10 from 43 Votes

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

Cardiovascular Surgery Centre in Clinique La Colline welcomes the patients with heart disease, cardiac / vascular trauma. Services provided by Dr Aristote Panos in the La Colline Cardiovascular Surgery Centre include: Video-assisted & Robotic Cardiac Surgery Robotic Thymectomy Cardiac Valve Repair etc.


Duration 14 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Geneva