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法洛四联症修复术后主动脉根部进行性扩张及主动脉反流的手术策略：病例报告

The Surgical Strategy for Progressive Dilatation of Aortic Root and Aortic Regurgitation After Repaired Tetralogy of Fallot: A Case Report.

作者信息

Zhang Shuaipeng, Liu Haiyuan, Wang Xiangyu, Huang Shaojun, Zhang Chengxin

机构信息

Department of Cardiovascular Surgery, First Affiliated Hospital of Anhui Medical University, Hefei, China.

出版信息

Front Cardiovasc Med. 2022 May 3;9:840946. doi: 10.3389/fcvm.2022.840946. eCollection 2022.

DOI:10.3389/fcvm.2022.840946
PMID:35592402
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9110687/
Abstract

It has been found that postoperative progressive dilatation of aortic root is not rare for adult patients with repaired Tetralogy of Fallot (TOF), which leads to severe aortic regurgitation or even fatal dissection. Therefore, clinically, surgical treatment for both regurgitated aortic valve and dilated root is needed based on preoperative assessments and individual treatment strategies.

摘要

已发现，对于接受法洛四联症（TOF）修复术的成年患者，术后主动脉根部进行性扩张并不罕见，这会导致严重的主动脉瓣反流甚至致命的主动脉夹层。因此，临床上，需要根据术前评估和个体化治疗策略，对反流的主动脉瓣和扩张的根部进行手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/73a9e1d5084e/fcvm-09-840946-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/e23930b0117b/fcvm-09-840946-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/094284881889/fcvm-09-840946-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/a5348d96d797/fcvm-09-840946-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/51b0b5d31f15/fcvm-09-840946-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/73a9e1d5084e/fcvm-09-840946-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/e23930b0117b/fcvm-09-840946-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/094284881889/fcvm-09-840946-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/a5348d96d797/fcvm-09-840946-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/51b0b5d31f15/fcvm-09-840946-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e28/9110687/73a9e1d5084e/fcvm-09-840946-g0005.jpg

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本文引用的文献

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Ann Thorac Surg. 2022 May;113(5):1529-1535. doi: 10.1016/j.athoracsur.2021.05.044. Epub 2021 Jun 8.
2
Follow-up aortic dilatation in patients with repaired tetralogy of Fallot using cardiovascular magnetic resonance.采用心血管磁共振成像对法洛四联症修复术后患者进行主动脉扩张随访
Eur J Radiol Open. 2021 May 12;8:100354. doi: 10.1016/j.ejro.2021.100354. eCollection 2021.
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The aortic root in repaired tetralogy of Fallot: Serial measurements and impact of losartan treatment.
法洛四联症根治术后的主动脉根部：系列测量及氯沙坦治疗的影响。
Int J Cardiol. 2021 Mar 1;326:88-91. doi: 10.1016/j.ijcard.2020.10.037. Epub 2020 Oct 21.
4
Significant delayed aortic dilatation after tetralogy of Fallot repair: a case report.法洛四联症修复术后显著延迟性主动脉扩张：一例报告
Surg Case Rep. 2020 Jul 17;6(1):173. doi: 10.1186/s40792-020-00935-5.
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Histologic Abnormalities of the Ascending Aorta: Effects on Aortic Remodeling after Intracardiac Repair of Tetralogy of Fallot.升主动脉的组织学异常：对法洛四联症心内修复后主动脉重塑的影响。
Tex Heart Inst J. 2020 Apr 1;47(2):86-95. doi: 10.14503/THIJ-17-6279.
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