Key result
Tetralogy of Fallot is the most common cyanotic congenital heart defect requiring surgical intervention, with early survival after complete primary repair in large centers reported to be between 98% and 100%.
Why the study?
The study was conducted to carry out an epidemiological survey on Tetralogy of Fallot and its respective treatment.
This narrative review summarizes the epidemiology, clinical presentation, and treatment of Tetralogy of Fallot based on 6 recent articles.
OBJECTIVE: Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect, occurring in approximately 1 in 3,500 births and accounting for 7% to 10% of all congenital heart malformations.Tetralogy of Fallot (ToF) occurs in approximately 1 in 3600 live births and accounts for 3.5% of babies born with congenital heart disease.The objective of this work is to carry out an epidemiological survey on Tetralogy of Fallot and its respective treatment.METHODS: This is a literature review, of the narrative type, which aims to describe the characteristics of Tetralogy of Fallot, from a theoretical point of view, through materials that have already been published on the subject in question, through analysis and interpretation of the literature.Inclusion criteria were: articles in Portuguese and English; published in the period from 2015 to 2023 and that addressed the themes proposed for this research, review-type studies available in full.After the selection criteria, 6 articles remained, which were subjected to thorough reading for data collection.The results were presented in a descriptive way, divided into thematic categories addressing: describing the subtitles or points that were mentioned in the discussion.RESULT AND DISCUSSION: Tetralogy of Fallot is the most common cyanotic heart disease in children who survive without treatment beyond neonatal age, requiring intervention in the first year of life.It accounts for 7% to 10% of birth defects, affecting men and women equally and occurring in 3 to 5 out of every 10,000 live births.The clinical presentation varies according to the severity of the obstruction of the right ventricular outflow tract, presenting more commonly in neonates with a certain degree of cyanosis.In some patients, cyanosis manifests itself months later in life when the rate of obstructions worsens.On auscultation, patients have a normal first heart sound with a single loud second heart sound.Currently,
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Filho et al. (2023) conducted a review in Tetralogy of Fallot. Surgical repair was evaluated. Tetralogy of Fallot is the most common cyanotic congenital heart defect requiring surgical intervention, with early survival after complete primary repair in large centers reported to be between 98% and 100%.
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