Abstract

In our series of 111 cases of tetralogy of Fallot, the result revealed that cases with high Hb-content was accompanied more frequently by hypertension. However, their causes and effect relationship could not be clarified and more complicated mechanism was imagined to be acting.From this series, these conditions of high Hb-content, hypertension and positive urinary protein will be estimated to occur in a patient at about the age of 10 years with tetralogy of Fallot, but for surgical point of view, such conditions do not contraindicate primary corrective surgery for the disease. Palliative operations are also found to be preferable to improve these conditions. In patients of an advanced age with hypertension, careful examinations including renal biopsy will be helpfu 1 to make the final decision for surgery.

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