Mitropoulos Fotios, Kanakis Meletios, Davlouros Periklis, Dellos Christos
Athens Medical Center, Greece.
Hellenic J Cardiol. 2006 May-Jun;47(3):180-3.
We describe the case of a young man who underwent anatomical correction of Tetralogy of Fallot in childhood. The patient developed severe pulmonary valve regurgitation, moderate tricuspid regurgitation and dilation of the right heart chambers. He underwent a redo sternotomy, replacement of the pulmonary valve and tricuspid annuloplasty with beating heart under extracorporeal circulation. Although this technique is more technically demanding, it avoids the use of cardioplegia and the complications of myocardial ischemia and reperfusion.
我们描述了一名童年时期接受法洛四联症解剖矫正术的年轻男性病例。该患者出现了严重的肺动脉瓣反流、中度三尖瓣反流以及右心腔扩张。他在体外循环下接受了再次胸骨切开术、肺动脉瓣置换术和三尖瓣瓣环成形术，手术过程中心脏不停跳。尽管这项技术对技术要求更高，但它避免了使用心脏停搏液以及心肌缺血和再灌注的并发症。
