Alfieri O, Kuruvilla S, Di Benedetto G, Locatelli G, Tiraboschi R, Villani M, Parenzan L, Carbonera Giani P
G Ital Cardiol. 1979;9(8):845-50.
The postoperative course and the post-mortem findings of a group of 30 patients who died after repair of tetralogy of Fallot were reviewed. A residual ventricular septal defect was the most common finding at the autopsy (13 patients = 43%) while a severe residual obstruction to the right ventricular outflow was found in 5 patients (17%), miscellaneous lesions in 3 (10%) and no intracardiac defects in 9 (30%). Since a residual anatomic defect is frequently responsible for the hospital mortality, prompts hemodynamic evaluation and reoperation is recommended when the postoperative course is deteriorating.
回顾了一组30例法洛四联症修复术后死亡患者的术后病程及尸检结果。尸检时最常见的发现是残余室间隔缺损（13例患者，占43%），而5例患者（17%）存在严重的右心室流出道残余梗阻，3例（10%）有其他病变，9例（30%）无心脏内缺损。由于残余解剖缺陷常导致医院内死亡，因此当术后病程恶化时，建议及时进行血流动力学评估并再次手术。
