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.


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