For referring colleagues

Tetralogy of Fallot — primary, staged and adult repair

Complete repair in infancy, staged palliation where the anatomy calls for it, and late repair or pulmonary valve replacement in adolescents and adults. This page is for colleagues considering a referral.

1

Cases considered

  • Infants for planned primary repair
  • Symptomatic neonates and hypercyanotic spells — shunt or staged approach
  • Tetralogy with pulmonary atresia and MAPCAs — unifocalization
  • Tetralogy with complete atrioventricular septal defect
  • Adolescents and adults: unrepaired tetralogy, or pulmonary regurgitation after earlier repair (pulmonary valve replacement)
2

What to send

  • Echo: outflow tract and pulmonary valve, branch pulmonary arteries, coronary anatomy and septal defects
  • Catheter or CT angiography, especially with MAPCAs or in adults
  • Saturations, spells and current medication
  • Previous operations or interventions, with operative notes where available
  • Age, weight and a one-paragraph clinical summary
3

What comes back

  • A written opinion on the approach — primary repair, staged repair or valve replacement
  • Proposed timing
  • The hospital suited to the case
  • A named onward referral if the case falls outside this service
01From his record

Talks and papers on this procedure

Refer a case

Send the studies by email or through the referral form, and a written reply comes back within 3 working days. Families looking for information or appointments will find them on 2alb-atfal.com.

For patients and families
Appointments, condition guides and costs live on the patient site.
This site is written for referring physicians, colleagues and press.