[HSF] Tetralogy of Fallot

[Nasser F. Abou'Seada]

Dear Theo 
Thank you for your kind email. Please call me Nasser, that would be simpler.

I do agree with your idea should a total reconstruction be reckoned to be
the ideal strategy. yet still I doubt that would be the ideal solution for
this case in particular. were the cases that you did as adult Fallot above
adult age ? did you have any concern in these cases about existent MABCA's
?? or fibrotic changes in old standing hypoxaemic ventricles ?? ... any of
them suffering ischaemic infarction on top?
no matter how many cases you have done, certainly every case is an
experience in itself. 
Thank you for your input. I'd appreciate your comments indeed 

Yours   


NFA
> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of Theofilo
> Sent: Sunday, January 21, 2007 4:12 PM
> To: OpenHeart-L at lists.hsforum.com
> Subject: RES: [HSF] Tetralogy of Fallot
> 
> Dear Dr.Nasser,
> I've corrected only 5 cases of Adult T4F but almost the same situation
> presented. Totally agree with Dr.Novick answer.
> Be sure to perform wide resection of RVOT and place a patch large on it's
> reconstruction. Also a patch(VSD correction) that doesn't obstruct the
LVOT.
> Theofilo Gauze