Abstract
From 1888 (1) to 1954 tetralogy of Fallot was one of many congenital cardiac diseases which held little interest for the clinician, once the challenge of diagnosis was surmounted, and offered little hope for the patient. Rarely a child survived to adulthood or even old age, but most succumbed in their teens. Blalock and Taussig (2) in 1945 first conceived the idea of an artificial ductus in the form of a subclavian-pulmonary anastomosis. Keen interest was aroused, and other operative approaches soon followed: Potts' aortic-pulmonary anastomosis in 1948 (3), Brock's infundibular resection in 1950 (4), and Lillehei's anatomic correction utilizing a heart-lung bypass in 1956 (5). This communication is based upon a review of preoperative and postoperative postero-anterior chest films of 67 patients with tetralogy of Fallot. An attempt was made to analyze cardiac size and contour and pulmonary vascularity before and after operation. Findings were tested for statistical significance when possible. Experience wi...
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