Coutu Marianne, Poirier Nancy C, Dore Annie, Carrier Michel, Perrault Louis P
Department of Surgery, Montreal Heart Institute, Quebec, Canada.
Ann Thorac Surg. 2004 Apr;77(4):1454-5. doi: 10.1016/S0003-4975(03)01001-4.
Since surgical correction of congenital heart diseases began in the early 1950s, a growing number of patients are reaching older age and becoming a risk for developing coronary artery disease. This study presents the clinical experience of myocardial revascularization in 4 symptomatic coronary artery disease patients with unrepaired or corrected tetralogy of Fallot. Three patients had surgery and 1 patient had percutaneous angioplasty. One corrected tetralogy of Fallot patient developed symptomatic coronary artery disease and responded favorably to medical therapy.
自20世纪50年代初开始对先天性心脏病进行外科矫正以来，越来越多的患者年龄增长，有患冠状动脉疾病的风险。本研究介绍了4例有症状的未修复或已矫正法洛四联症冠状动脉疾病患者的心肌血运重建临床经验。3例患者接受了手术，1例患者接受了经皮血管成形术。1例已矫正法洛四联症患者出现有症状的冠状动脉疾病，药物治疗反应良好。
