Total correction of Fallots tetralogy in patients aged less than i year

Nine patients aged less than I year who developed severe anoxic attacks complicating Fallot's tetralogy were treated by one-stage total surgical correction. Eight survived and one died after a technical complication. Two further patients developed serious problems in the form of a severe respiratory tract infection and a hemiparesis, respectively; both, however, have made virtually complete recoveries. Relief of outflow tract obstruction is supported by haemodynamic data. All 8 survivors continue to make good progress. In such patients with a suitable anatomical situation, one-stage total correction appears to offer a satisfactory alternative surgical approach to those currently advised.