Hruda J, Samánek M, Hucín B, First T, Reich O, Vorísková M, Zapletal A, Tláskal T, Skovránek J
Cor Vasa. 1985;27(6):426-33.
During a 5-year period (1978-1983) corrective surgery for tetralogy of Fallot was performed in 114 patients, ranging in age from 2 to 24 years (mean 8.4 years). Forty-one of them (35.9%) had previously undergone a palliative operation. Insertion of a transannular patch was necessary in 48 patients (42.1%). Eleven children died in the immediate postoperative period (early mortality 9.6%); no deaths occurred later. 103 survivors were followed-up for periods ranging from 5 months to 5 years mean 2.4 years) after surgery. The condition in 91 patients was excellent (88.7%), in 11 good (10.7%) and in one poor. Residual ventricular septal defect persisted in 9 patients (8.7%). Postoperative ECG revealed complete right bundle branch block in 71 patients (59%), incomplete block in 18 (18%), 5 patients (5%) had complete RBBB with left anterior hemiblock. Postoperative dysrhythmia requiring treatment was found in 7 patients (6%). Of 82 patients thoroughly examined by echocardiography, 37 (45%) had pulmonary regurgitation, 29 (35%) pulmonary plus tricuspid regurgitation, and 3 (4%) isolated tricuspid regurgitation. 83% of the patients had impaired lung function.
在1978年至1983年的5年期间，对114例年龄在2至24岁（平均8.4岁）的法洛四联症患者进行了矫正手术。其中41例（35.9%）此前接受过姑息手术。48例患者（42.1%）需要植入跨环补片。11名儿童在术后早期死亡（早期死亡率9.6%）；后期无死亡病例。103名幸存者在术后接受了5个月至5年（平均2.4年）的随访。91例患者情况良好（88.7%），11例良好（10.7%），1例较差。9例患者（8.7%）存在残余室间隔缺损。术后心电图显示71例患者（59%）有完全性右束支传导阻滞，18例（18%）有不完全性阻滞，5例患者（5%）有完全性右束支传导阻滞伴左前分支阻滞。7例患者（6%）出现需要治疗的术后心律失常。在82例接受超声心动图全面检查的患者中，37例（45%）有肺动脉反流，29例（35%）有肺动脉加三尖瓣反流，3例（4%）有孤立性三尖瓣反流。83%的患者肺功能受损。
