Suciu H, Deac R, Tilea I, Neagoe R, Jerzicska E, Făgărăşan Amalia
Institutul de Urgenţă pentru Boli Cardiovasculare si Transplant, Clinica de Chirurgie Cardiovasculară, Universitatea de Medicină si Farmacie Târgu Mureş.
Rev Med Chir Soc Med Nat Iasi. 2009 Apr-Jun;113(2):459-65.
Tetralogy of Fallot represents one of the most frequent congenital heart disease in medical practice and a "corner stone" of any paediatric surgical team due to great anatomic and functional variability and clinical aspects. This paper presents a retrospective study of surgical experience in patients with tetralogy of Fallot admitted in Paediatric Cardiovascular Centre of Târgu Mureş, Romania, between 2005, October to 2009, January.
There where retrospectively studied medical records of patients who undergo a surgical procedure: age, morphologic diagnosis, symptoms and type of surgical procedure, intraoperative data, postoperative follow-up and complications.
In this period 110 cases of tetralogy of Fallot were operated, 81 total surgical repair (54 primary and 27 secondary procedures); also there were performed 29 "palliative" procedures: systemic/pulmonary shunts (eg. Blalock-Taussig). No intraoperative deaths were recorded; the percentage of in-hospital mortality was 1.8%.
It's ideal to perform total primary repair of tetralogy of Fallot, especially in the first year of life; extreme cases (severe hypoplasic pulmonary arteries, emergency cases) benefit from "palliative" procedures. Surgical repair of Fallot tetralogy can be performed, with good results in specialised paediatric cardiac surgery centres. This paper represents the first Romanian clinical study on a large number of patients with tetralogy of Fallot surgically treated.
法洛四联症是医学实践中最常见的先天性心脏病之一，也是任何小儿心脏外科团队的“基石”，因其解剖和功能变异以及临床情况复杂。本文对2005年10月至2009年1月期间在罗马尼亚特尔古穆列什儿科心血管中心收治的法洛四联症患者的手术经验进行了回顾性研究。
回顾性研究接受手术治疗患者的病历：年龄、形态学诊断、症状及手术类型、术中数据、术后随访及并发症。
在此期间，110例法洛四联症患者接受了手术，其中81例进行了完全手术修复（54例一期手术和27例二期手术）；还进行了29例“姑息性”手术：体肺分流术（如Blalock-Taussig分流术）。术中无死亡记录；住院死亡率为1.8%。
法洛四联症理想的治疗方式是进行完全一期修复，尤其是在生命的第一年；极端病例（严重肺血管发育不良、急症病例）可从“姑息性”手术中获益。在专业的小儿心脏外科中心进行法洛四联症的手术修复，效果良好。本文是罗马尼亚关于大量法洛四联症手术治疗患者的首个临床研究。
