John S, Mani G K, Abraham K A, Perianayagam W J, Muralidharan S, Sukumar I P, Cherian G
J Cardiovasc Surg (Torino). 1979 Mar-Apr;20(2):145-9.
This study demonstrates that total surgical correction in tetralogy of Fallot is a gratifying procedure even with advancing age especially when one reckons that a great majority of these patients showed pronounced disability at the time of surgery without the benefit of previous palliative procedures. However, there are technical difficulties in accomplishing repair in the fibrotic hearts of older patents. The early mortality and long term benefits in this age group closely parallel those in our over all experience with surgery for this anomaly. There was a 12.5% early and 10% late mortality in this series. Surviving patients have been followed up for a period ranging from 1 to 10 years (mean 18 months) and are found to be leading normal active lives.
本研究表明，法洛四联症的全手术矫正即使在患者年龄增长的情况下仍是一项令人满意的手术，尤其是考虑到这些患者中的绝大多数在手术时表现出明显的残疾，且未受益于先前的姑息手术。然而，在老年患者纤维化心脏中进行修复存在技术困难。该年龄组的早期死亡率和长期获益与我们对这种畸形手术的总体经验密切相似。本系列中有12.5%的早期死亡率和10%的晚期死亡率。存活患者已随访1至10年（平均18个月），发现他们过着正常的积极生活。
