Fal'kovskiĭ G E, Il'in V N, Churkin V M, Seregin K O, Koludarov V I, Kramer V S, Degtiareva E A, Gorbachevskiĭ S V
Grud Serdechnososudistaia Khir. 1990 Dec(12):35-41.
Radical correction of Fallot's tetralogy by means of an approach through the right atrium and pulmonary artery without ventriculotomy (10 patients) or with minimal ventriculotomy (23 patients) was carried out in children whose ages ranged from 13 to 50 months and body weight from 7.9 to 15 kg. Lethality was 12%. The death of 3 patients was not connected with the peculiarities of the surgical tactics, the death of the fourth patient was due to insufficient experience in development of the surgical techniques of the first operations. The operative techniques applied are described in detail and the possibility of adequate correction of Fallot's tetralogy by it is proved principally. The late-term operative results are good in 10 patients. The first results of the suggested method of surgical correction of the anomaly are claimed by the authors to be promising, which allows them to continue its further elaboration.
对年龄在13至50个月、体重7.9至15千克的儿童,采用经右心房和肺动脉入路,不做心室切开术(10例)或做最小限度心室切开术(23例)的方法,对法洛四联症进行了根治手术。死亡率为12%。3例患者的死亡与手术策略的特殊性无关,第4例患者的死亡是由于首次手术的外科技术开发经验不足。详细描述了所应用的手术技术,并原则上证明了通过该技术对法洛四联症进行充分矫正的可能性。10例患者的远期手术效果良好。作者声称,所建议的该畸形手术矫正方法的初步结果很有前景,这使他们能够继续对其进行进一步完善。