Kosuga K, Mizoguchi T, Isomura T, Ohryoji A, Aoyagi S, Ohishi K
Second Department of Surgery, Kurume University School of Medicine.
Kyobu Geka. 1990 Jul;43(8):672-7.
Two hundred and eighty two survivors after complete correction of tetralogy of Fallot were analyzed in late follow up periods. The method of the reconstruction of right ventricular outflow tract was non-transannular path (NTAP) in 110 patients and transannular patch in 172. In the group of TAP, pulmonary regurgitation occurred in all and the cardio-thoracic ratio was larger than the ratio in the group of NTAP (p less than 0.05). Postoperative ECG at rest showed complete right bundle branch block (CRBBB) in 224 patients and 6 of them showed sudden death in their follow up period. However, there were no sudden deaths in 41 patients without CRBBB. The rate of reoperation after intracardiac repair was 4.25% and the causes were residual pulmonary stenosis and residual ventricular septal defect, and there were no significant differences of the reoperation rate between NTAP-group and TAP-group.
对282例法洛四联症完全矫正术后的幸存者进行了长期随访分析。110例患者右心室流出道重建采用非跨环路径（NTAP），172例采用跨环补片。在跨环补片组中，所有患者均出现肺动脉反流，心胸比率大于非跨环路径组（p<0.05）。术后静息心电图显示224例患者出现完全性右束支传导阻滞（CRBBB），其中6例在随访期间猝死。然而，41例无CRBBB的患者未发生猝死。心内修复术后再次手术率为4.25%，原因是残余肺动脉狭窄和残余室间隔缺损，NTAP组和跨环补片组的再次手术率无显著差异。
