Abstract
Fifteen patients have required repeat heart surgery after total correction of tetralogy of Fallot. Indications for reoperation included recurrent ventricular septal defect (VSD), 9 patients; tricuspid regurgitation, 2 patients; residual right ventricular hypertension, 1 patient; and infection of the right ventriculotomy, 3 patients. From this experience, we have drawn the following conclusions: (1) The need for reoperation after correction of Fallot's tetralogy is unusual; (2) although technically more difficult than the primary operation, the second operation does not cause an excessive mortality rate (13 of 15 survived), and (3) properly selected patients derive substantial benefit from reoperation.
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