Kubota H, Nunokawa M, Tonari K, Hosoi Y, Imamura K, Takahashi N, Takahashi N, Fujiki T, Endo H, Tsuchiya H, Sudo K
Department of Cardiovascular Surgery, Kyorin University School of Medicine, Mitaka, Japan.
Kyobu Geka. 2009 Feb;62(2):112-6.
Postoperative pulmonary valve regurgitation, stenosis of the right ventricular outflow tract, conduit failure, ventricular septal patch leak, secondary tricuspid valve regurgitation, and various arrhythmias are the major complications that develop after surgical repair of tetralogy of Fallot in adults. A 27-year-old male with pulmonary regurgitation, tricuspid regurgitation, residual ventricular septal defect (VSD), low left ventricular function, and chronic atrial fibrillation underwent tricuspid annuloplasty, pulmonary valve replacement with a stentless aortic valve, VSD patch closure, and right-sided maze procedure, and the postoperative course was uneventful. The cardiothoracic ratio decreased, sinus rhythm was restored, and the patient's complaints were relieved. Reoperation at the optimal time after corrective repair of tetralogy of Fallot in adults may improve the outcome.
成人法洛四联症手术修复后出现的主要并发症包括术后肺动脉瓣反流、右心室流出道狭窄、管道衰竭、室间隔补片渗漏、继发性三尖瓣反流以及各种心律失常。一名27岁男性，患有肺动脉反流、三尖瓣反流、残余室间隔缺损（VSD）、左心室功能低下和慢性心房颤动，接受了三尖瓣环成形术、用无支架主动脉瓣置换肺动脉瓣、VSD补片闭合术和右侧迷宫手术，术后过程顺利。心胸比率降低，恢复了窦性心律，患者的症状得到缓解。成人法洛四联症矫正修复后在最佳时机进行再次手术可能会改善预后。
