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Primary repair of Fallot's tetralogy in an older adult: a 20-year follow-up.

A patient with tetralogy of Fallot who presented at 58 years of age is described. Following surgical intracardiac repair he had 20 years of improved functional capacity. Though such surgery is now usually performed in infancy, the literature indicates that surgical correction of tetralogy of Fallot in appropriate adults is associated with low mortality and good long-term results.