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The first total repair of tetralogy of Fallot was done by a team led by C. Walton Lillehei at the University of Minnesota in 1954 on an 11-year-old boy. [85] Total repair on infants has had success from 1981, with research indicating that it has a comparatively low mortality rate. [72]
The Blalock–Thomas–Taussig shunt (BTT shunt), [1] previously known as the Blalock–Taussig Shunt (BT shunt), [2] is a surgical procedure used to increase blood flow to the lungs in some forms of congenital heart disease [3] such as pulmonary atresia and tetralogy of Fallot, which are common causes of blue baby syndrome. [3]
English: What is Tetralogy of Fallot? Tetralogy of Fallot (TOF) is a congenital heart condition characterized by four heart abnormalities—stenosis in the right ventricular outflow tract, right ventricular hypertrophy, ventricular septal defect, and aortic override of septal defect. Together, these can cause cyanosis in the newborn.
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In 1944, Alfred Blalock at Johns Hopkins Hospital began successfully performing surgery on the great vessels around the heart to relieve the symptoms of tetralogy of Fallot, demonstrating that heart surgery could be possible. Lillehei participated in the first successful surgical repair of the heart on 2 September 1952.
A diagnosis of TOF is usually made with echocardiography, which can even be done prenatally. Most patients with tetralogy of Fallot will have cardiac repair surgery in the first year of life, where the ventricular septal defect is closed with a patch, and the right ventricular outflow tract is enlarged.
Rehabilitation for an MPFL repair usually involves physical therapy, with the initial recovery time being 4–7 months. [6] During the immediate post-operation phase, the knee is protected at all times. Patients do not bear weight on the knee for the first two weeks after surgery, with no range of motion.
The knee-chest position [1]. The knee-chest position or genupectoral position is a position used in a number of medical situations including gynecological examination and surgery, lumbar spine surgery, [2] [3] [4] repair of vesico-vaginal fistula (VVF) by Sims's saucerisation procedure, labor and delivery for which it is recommended in those with a cord prolapse until delivery can occur, [1 ...
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