Toronto Congenital Cardiac Centre for Adults, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada; Cardiology Department, Cardiovascular Institute, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Toronto Congenital Cardiac Centre for Adults, Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada.
JACC Cardiovasc Interv. 2024 May 13;17(9):1079-1090. doi: 10.1016/j.jcin.2024.02.009.
Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease. Palliative procedures, either surgical or transcatheter, aim to improve oxygen saturation, affording definitive procedures at a later stage. Transcatheter interventions have been used before and after surgical palliative or definitive repair in children and adults. This review aims to provide an overview of the different catheter-based interventions for TOF across all age groups, with an emphasis on palliative interventions, such as patent arterial duct stenting, right ventricular outflow tract stenting, or balloon pulmonary valvuloplasty in infants and children and transcatheter pulmonary valve replacement in adults with repaired TOF, including the available options for a large, dilated native right ventricular outflow tract.
法洛四联症（TOF）是最常见的发绀性先天性心脏病。姑息性手术或经导管治疗的目的是提高氧饱和度，以便在以后的阶段进行确定性治疗。经导管介入治疗已在儿童和成人的姑息性或确定性手术修复前后使用。本综述旨在概述所有年龄段的 TOF 的不同基于导管的介入治疗，重点是姑息性介入治疗，例如动脉导管未闭支架置入术、右心室流出道支架置入术或球囊肺动脉瓣成形术在婴儿和儿童中，以及经导管肺动脉瓣置换术在修复后的 TOF 成人中，包括对大而扩张的原生右心室流出道的可用选择。
