Hughes C F, Lim Y C, Cartmill T B, Grant A F, Leckie B D, Baird D K
Ann Thorac Surg. 1987 Jun;43(6):634-8. doi: 10.1016/s0003-4975(10)60237-8.
The anatomic and clinical features of 47 patients who were 18 years of age or older at the time of total intracardiac repair for tetralogy of Fallot are reviewed. Twenty (43%) patients had had previous palliative surgery. Of 14 pulmonary-systemic shunts, 9 (64%) remained patent. The location of the ventricular septal defect was infracristal in 90% of patients. The predominant right ventricular outflow tract obstruction was at the infundibulum in 30%; another 64% of patients had combined valvular and infundibular obstruction. Total intracardiac repair was achieved; hospital mortality was 8.5%. Morbidity was minor, and hemorrhage was a significant problem in only 2 patients. Thirty-five patients have been followed from 11 months to 15 years after surgery. There were 4 late deaths; the actuarial 10-year survival rate was 82%.
回顾了47例在法洛四联症全心内修复时年龄在18岁及以上患者的解剖和临床特征。20例（43%）患者曾接受过姑息性手术。在14例肺-体分流术中，9例（64%）仍保持通畅。90%的患者室间隔缺损位于嵴下。主要的右心室流出道梗阻发生在漏斗部的占30%；另外64%的患者存在瓣膜和漏斗部联合梗阻。成功完成了全心内修复；医院死亡率为8.5%。并发症较少，仅2例患者出血是一个严重问题。35例患者术后随访了11个月至15年。有4例晚期死亡；10年实际生存率为82%。
