Tetralogy of Fallot (TOF) – Treatment, Surgery | Cyanotic Spells Treatment
Last Updated : 1/11/2010
N C Joshi
Treatment of cyanotic spells
- knee-chest position
- morphine sulfate 0.1-0.2 mg/kg/SC or IM
- NaHCO2 + O2
- Vasoconstrictors (Neo-synephrine)
- Propranolol

Treatment of Anemia : Iron (As TOF is prone to Cardiovascular Accidents)

- Blalock-Taussig
- Waterston shunt
- Pott's operation
- Gore-Tex shunt

Palliative procedures that can be used in patients with cyanotic cardiac defects with decreased pulmonary blood flow.

The Glen procedure (anastomosis between the Superior Vena Cava and the right PA) may be performed in older infants with hypoplastic RV, such as is seen with tricuspid atresia.

Corrective surgery: At 1-5 years of age

Contributor Information and Disclosures

N C Joshi
Consultant Pediatrician, Nanavati Hospital, Mumbai, India

First Created : 1/8/2001
Last Updated : 1/11/2010


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