Ma Michael, Mainwaring Richard D, Hanley Frank L
Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Lucile Packard Children's Hospital, Stanford, CA, USA..
Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Lucile Packard Children's Hospital, Stanford, CA, USA.
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2018 Mar;21:75-82. doi: 10.1053/j.pcsu.2017.11.002.
The heterogenous anatomy of Tetralogy of Fallot with major aortopulmonary collateral arteries has engendered a similar degree of diversity in its management and, ultimately, outcome. We summarize our comprehensive treatment paradigm for this lesion evolved over 15 years of experience through 458 patients and the results obtained. An updated analysis of 307 patients treated primarily at our institution is included. A review of recent literature, comparison of management strategies, and discussion of ongoing controversies are provided.
法洛四联症合并主要体肺侧支动脉的解剖结构异质性，导致其治疗方法以及最终的治疗结果也存在相似程度的多样性。我们总结了在15年里对458例患者的治疗经验所形成的针对该病变的综合治疗模式及取得的结果。其中包括对在我们机构接受主要治疗的307例患者的最新分析。还提供了近期文献综述、治疗策略比较以及对当前争议的讨论。
