法洛四联症及其变异型
Tetralogy of Fallot and Its Variants.
作者信息
Karl Tom R, Stocker Christian
机构信息
1University of Queensland School of Medicine, Queensland Pediatric, Cardiac Service, Lady Cilento Children's Hospital, Brisbane, Queensland, Australia. 2Department of Cardiovascular Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, Florida. 3University of Queensland, Brisbane, Queensland, Australia.
出版信息
Pediatr Crit Care Med. 2016 Aug;17(8 Suppl 1):S330-6. doi: 10.1097/PCC.0000000000000831.
OBJECTIVES
The objectives of this review are to discuss the anatomy, pathophysiology, surgical repair, and perioperative management strategies for tetralogy of Fallot and its variants.
DATA SOURCE
MEDLINE and PubMed.
CONCLUSIONS
Significant refinements have been made in the repair strategy for tetralogy of Fallot, based on improved understanding of postrepair physiology. Important considerations for timing and technique of surgery and perioperative management have been presented, and continued evolution is expected. Expanded use of the pulmonary valve reconstruction technique outlined herein, whatever the age of repair, may improve long-term outcome.
目的
本综述的目的是讨论法洛四联症及其变异型的解剖结构、病理生理学、手术修复及围手术期管理策略。
数据来源
医学文献数据库（MEDLINE）和医学期刊数据库（PubMed）。
结论
基于对修复后生理学的深入理解，法洛四联症的修复策略有了显著改进。文中介绍了手术时机、技术及围手术期管理的重要考量因素，预计还会持续发展。无论修复时年龄如何，扩大使用本文所述的肺动脉瓣重建技术可能会改善长期预后。
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