Warnes C A, Somerville J
Br Heart J. 1986 Dec;56(6):535-43. doi: 10.1136/hrt.56.6.535.
Twenty nine patients aged 15-35 years (mean 23) with tricuspid atresia and normally related great arteries were studied; 20 are alive. Ten patients who had had a Fontan operation (group 1) were compared with 10 patients with palliative shunts (9) or no surgery (1) (group 2). Patients were graded according to their ability to lead a normal life (ability index). Patients in group 1 tended to have a better ability index, a greater exercise capacity, and fewer social and extracardiac problems than those in group 2. The mean left ventricular ejection fraction measured by radionuclide angiography was the same in both groups. Arrhythmias were equally common in both groups; they appear to be age related and they occur independently of left ventricular function.
对29例年龄在15至35岁（平均23岁）、患有三尖瓣闭锁且大动脉关系正常的患者进行了研究；其中20例存活。将10例接受了Fontan手术的患者（第1组）与10例接受姑息性分流术（9例）或未接受手术（1例）的患者（第2组）进行比较。根据患者过正常生活的能力（能力指数）对患者进行分级。与第2组患者相比，第1组患者往往具有更好的能力指数、更大的运动能力以及更少的社会和心外问题。两组通过放射性核素血管造影测量的平均左心室射血分数相同。心律失常在两组中同样常见；它们似乎与年龄相关，且独立于左心室功能发生。
