Fal'kovskiĭ G E, Il'in V N, Khamidov A V, Sarkisova T N, Arzhanukhina S Iu
Grud Serdechnososudistaia Khir. 1990(4):3-8.
The effect of the Blalock-Taussig operation on the growth of the pulmonary arteries (PA) in infants with tetralogy of Fallot (TF) was studied in late-term periods. Thirty-eight patients were examined, angiography and study of hemodynamics were conducted 31 to 144 months after the Blalock-Taussig operation. The obtained data provide evidence that as the result of the operation all segments of the hypoplastic PA grew to such a size that radical correction of the anomaly could be accomplished. In patients with an initially normal size of the PA growth of the vessel was not encountered. Iatrogenic complications and deformities of the PA occurred in 13.2% of cases. These complications developed most frequently (7.9%) in patients in whom the anastomosis was established in the first year of life. The degree of severity of the infundibular stenosis grew in all patients. Severe obstruction of outflow from the right ventricle developed in 10.5% of patients; in 7.9% of children it was completely obstructed. In view of that prolonged delay of the second stage of surgical treatment is inexpedient.
研究了在晚期法洛四联症（TF）婴儿中，Blalock-Taussig手术对肺动脉（PA）生长的影响。共检查了38例患者，在Blalock-Taussig手术后31至144个月进行了血管造影和血流动力学研究。获得的数据表明，手术结果使发育不全的肺动脉各段均生长到足以完成畸形根治的大小。对于最初肺动脉大小正常的患者，未发现血管生长。13.2%的病例发生了医源性并发症和肺动脉畸形。这些并发症最常发生在（7.9%）一岁内进行吻合术的患者中。所有患者漏斗部狭窄的严重程度均增加。10.5%的患者出现严重的右心室流出道梗阻；7.9%的儿童完全梗阻。鉴于此，手术治疗第二阶段的长期延迟是不合适的。
