Early Primary Correction of Tetralogy of Fallot

As a record of achievement, the paper in this issue of The Annuls by Gustafson and colleagues entitled ”Early Primary Repair of Tetralogy of Fallot” is exemplary. There can be no faultfinding with an experience with repair of tetralogy of Fallot in 40 patients in which no deaths have occurred. The effectiveness of the paper in enabling readers (or the authors) to predict the results of the protocol described in future patients or to compare the results with those of other protocols is another matter. Yet these processes are quite necessary to the making of responsible recommendations to future patients and to colleagues. The ”concept” (as the authors put it) of early primary