Cousin Grégoire, Ratsimandresy Miarisoa, Leobon Bertrand, Cuttone Fabio
Congenital Cardiac Surgery Department, Toulouse University Children's Hospital, Toulouse, France.
Interact Cardiovasc Thorac Surg. 2018 Oct 1;27(4):622-623. doi: 10.1093/icvts/ivy082.
We describe the case of a 32-month-old patient from a developing country with tetralogy of Fallot associated with a severe biventricular dysfunction. This association is rare but makes the surgical strategy complex and potentially contraindicated. An acute severe hypoxic episode led us to perform palliative rescue intervention involving the placement of an undersized systemic-to-pulmonary shunt. This surgery was well tolerated and allowed a fast and impressive recovery of the ventricular function, making complete repair possible.
我们描述了一名来自发展中国家的32个月大患者的病例，该患者患有法洛四联症并伴有严重的双心室功能障碍。这种关联很罕见，但使手术策略变得复杂，甚至可能成为手术禁忌。一次急性严重缺氧发作促使我们进行了姑息性抢救干预，包括植入一个尺寸偏小的体肺分流管。该手术耐受性良好，使心室功能迅速且显著恢复，从而使完全修复成为可能。
