A Review of Tetralogy of Fallot and Postoperative Management

Johnna Forman; Rachel Beech; Lucy Slugantz; Amy Donnellan

doi:10.1016/j.cnc.2019.05.003

A Review of Tetralogy of Fallot and Postoperative Management

Crit Care Nurs Clin North Am. 2019 Sep;31(3):315-328. doi: 10.1016/j.cnc.2019.05.003. Epub 2019 Jul 5.

Authors

Johnna Forman¹, Rachel Beech², Lucy Slugantz³, Amy Donnellan⁴

Affiliations

¹ Heinrich A. Werner Division of Pediatric Critical Care, University of Kentucky, Kentucky Children's Hospital, 800 Rose Street, MN 460, Lexington, KY 40536, USA. Electronic address: johnna.otis3@uky.edu.
² Heinrich A. Werner Division of Pediatric Critical Care, University of Kentucky, Kentucky Children's Hospital, 800 Rose Street, MN 460, Lexington, KY 40536, USA.
³ Pediatric Intensive Care Unit, University of Kentucky, Kentucky Children's Hospital, 800 Rose Street, MN 460, Lexington, KY 40536, USA.
⁴ Cardiac Intensive Care Unit, The Heart Institute, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 1002, Cincinnati, OH 45229, USA.

PMID: 31351553
DOI: 10.1016/j.cnc.2019.05.003

Abstract

This article discusses the anatomy and physiology of tetralogy of Fallot (TOF) and TOF variants. Indications for surgical repair, morbidity/mortalities, and surgical repair techniques are also reviewed. The article concludes with review of common postoperative complications and management strategies for arrhythmias, right ventricular dysfunction, low cardiac output, and residual defects.

Keywords: Nursing care; Pediatric cardiac intensive care unit; Postoperative complications; Postoperative management; Surgical repair; Tetralogy of Fallot.

Publication types

Review

MeSH terms

Arrhythmias, Cardiac / therapy
Cardiac Surgical Procedures / adverse effects*
Cardiac Surgical Procedures / mortality
Critical Care Nursing
Humans
Postoperative Complications / mortality
Postoperative Complications / physiopathology
Postoperative Complications / therapy*
Tetralogy of Fallot / mortality
Tetralogy of Fallot / physiopathology*
Tetralogy of Fallot / surgery*
Time Factors
Ventricular Dysfunction, Right / therapy