Aleksi-Meskhishvili V V, Nikoliuk A P, Garibian V A, Borisov V I, Vedernikova L A, Il'in V N
Grud Serdechnososudistaia Khir. 1990(2):19-25.
The article generalizes the experience in surgical treatment of Fallot's tetrad in 20 infants. Radical correction of the anomaly was carried out under extracorporeal circulation and deep hypothermia with reduced volume rate of perfusion. Plastics of the conus arteriosus alone was performed in 6 patients, transanulus and the pulmonary trunk in 4 patients. Two patients died, the hospital lethality was 10%. A clinical effect was produced in all the other patients. The relation of systolic pressure in the left ventricle to that in the right ventricle was 0.56 +/- 0.1, the systolic pressure gradient between the right ventricle and the pulmonary artery was 18 +/- 4.2 mm Hg. Various degree of regurgitation at the pulmonary valve was revealed after the operation in all patients. It was maximum (34 +/- 10%) in transanulus plastics.
本文总结了20例法洛四联症患儿的外科治疗经验。在体外循环和深低温低流量灌注下对该畸形进行了根治性矫正。6例患者仅行动脉圆锥成形术，4例患者行跨环及肺动脉干成形术。2例患者死亡，医院病死率为10%。其他所有患者均取得了临床效果。左心室与右心室收缩压之比为0.56±0.1，右心室与肺动脉之间的收缩压差为18±4.2mmHg。术后所有患者均发现不同程度的肺动脉瓣反流。跨环成形术时反流最大（34±10%）。
