ObjectiveTo identify the best time for corrective surgery of tetralogy of Fallot (TF)
in children aged 0-12 months and to report the most frequent complications
during the first 3 years postoperatively.MethodsSystematic review of studies published between 2000 and 2017 on corrective
surgery for TF. Articles were selected through search of electronic
databases (PubMed, SciELO, Scopus, Lilacs, Google Scholar, and Cochrane).
Length of stay in intensive care unit, duration of mechanical ventilation,
and peri/postoperative complications were analyzed for data discussion and
research interpretation.ConclusionDefinitive corrective surgery is the best alternative, and the earlier it is
performed, the lower the occurrence of harmful effects and the greater the
chances of cardiorespiratory recovery. This systematic review suggests that
the best time to perform definitive corrective surgery for TF in the first
year of life is during 3-6 months of age in children with no or mild
symptoms. Children with severe symptoms should undergo surgery
immediately.
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