Chepkaia I L, Bazyka O E, Zin'kovskiĭ M F, Stychinskiĭ A S, Lazorishinets V V
Lik Sprava. 1992 Jul(7):24-7.
The frequency and factors favouring the development of cardiac rhythm disorders were studied in 306 patients operated on radically for Fallot's tetralogy (follow-up: 6 months--29 years). This complication was found in 99 patients (32.3%). Most patients showed ventricular arrhythmia--62 (62.6%). Paroxysmal tachycardia was noted in 11 patients, atrio-ventricular block in 15 patients, combination of different arrhythmias in 11 patients. Risk factors were: inadequate correction of the malformation, age over 15 at the time of operation, approach through the right ventricle with plastic repair of the drainage tract, five years after surgery.
对306例接受法洛四联症根治手术的患者(随访时间为6个月至29年)的心律失常发生频率及相关因素进行了研究。99例患者(32.3%)出现了这种并发症。大多数患者表现为室性心律失常——62例(62.6%)。11例患者出现阵发性心动过速,15例患者出现房室传导阻滞,11例患者出现不同心律失常的组合。危险因素包括:畸形矫正不充分、手术时年龄超过15岁、经右心室途径并对引流道进行整形修复、术后五年。