Kudriashev V E, Beletskiĭ Iu V, Ivanov A S, Cherepenin L P, Nazarova T A, Buravikhina T A, Dobrovol'skaia T N
Vestn Akad Med Nauk SSSR. 1990(12):18-20.
Long-term examination findings in 78 patients after radical correction of Fallot's tetralogy and preoperative assessment of the circulatory status in 68 patients using treadmill test are analysed. The quantitative estimates of circulatory defects at different levels at later postoperative terms (from 6 months to 6 years) depended on the type of plastic surgery of the outflow part of the right ventricle and pulmonary trunk: suture plasty, right ventricular outflow plasty with a xeno-pericardial flap, and transannular plasty with the use of a mono-septal xeno-pericardial graft. Preoperatively, 59.0 per cent patients were attributed to functional class IV and 41.0 per cent patients to class III. After the radical tetralogy correction, most patients (55.0 per cent) were related to the functional class I. The advantages of using mono-septal xeno-pericardial grafts for plastic surgery of the right ventricular outflow and pulmonary trunk are demonstrated.
分析了78例法洛四联症根治术后患者的长期检查结果，并对68例患者使用跑步机试验进行术前循环状态评估。术后晚期（6个月至6年）不同水平循环缺陷的定量评估取决于右心室流出道和肺动脉干的整形手术类型：缝合整形、带异种心包瓣的右心室流出道整形以及使用单间隔异种心包移植物的跨环整形。术前，59.0%的患者属于功能IV级，41.0%的患者属于III级。法洛四联症根治术后，大多数患者（55.0%）属于功能I级。展示了使用单间隔异种心包移植物进行右心室流出道和肺动脉干整形手术的优势。
