Chris didn't seem convinced. > From: Bhavani <http://www.gmail.com/~bhavaniowl> > Date: Sat, 13 Mar 2021 11:11:15 -0700 > > What type of ongoing care is necessary for an adult who has had surgical repair > of tetralogy of Fallot? > > Specialists in adult congenital heart disease recommend that an adult who has > had palliative surgery for tetralogy of Fallot as a child periodically undergo > a thorough cardiac evaluation. The shunts used in the palliation are associated > with problems such as narrowing (stenosis), high blood pressure in the > pulmonary artery or causing excess volume load on the left side of the heart. > Definitive surgery often results in significant leaking of the pulmonary valve > and the size and function of the right side of the heart needs to be monitored > closely. > > Some patients may also develop large aortopulmonary collateral vessels as a way > of getting extra blood flow to the lungs. These need to be closed prior to > definitive surgical repair. > > The presence of any of these problems or worsening of symptoms, such as > cyanosis or fatigue, are reasons for an adult to undergo a complete repair > surgery. > > Occasionally, an individual reaches adulthood without having had any surgical > repair, although this is not common. Specialists recommend that these > individuals consider undergoing a complete surgical repair to prevent future > complications or sudden death. > > *Recommended that Chris goes to a cardiologist in Boston or Lahey Clinic.