Bianchi T, Tiraboschi R, Vanini V, Locatelli G, Branchini B, di Benedetto G, Villani M, Alfieri O, Annecchino P, Ferrazzi P, Crupi G C, Invernizzi G, Funiciello A M, Parenzan L
G Ital Cardiol. 1975;5(6):877-92.
172 consecutive palliative operations in patients with Fallot's tetralogy are presented. 19% of the patients were aged less than 6 and 45% less than 12 months. The overall mortality was 5.8%, but has been recently reduced with the improvement of anaesthesiologic and technical experience. In fact, during the last two years, 69 Waterston shunts (33 under 12, and 17 under 6 months of life) were performed with no deaths. On the grounds of this experience, indications of the different types of systemic to-pulmonary artery shunts are discussed, as well as problems related to the choice between one-stage and two-stages surgical correction. The authors' opinion is that palliative procedures still play an important role in the treatment of Fallot's tetralogy, although the future approach may well be early total correction. In their experience, the last approach is restricted to children over 18-24 months of life with favorable anatomy, and to all patients over 4 years of age.
本文介绍了172例法洛四联症患者接受姑息手术的情况。19%的患者年龄小于6岁，45%的患者年龄小于12个月。总体死亡率为5.8%，但随着麻醉和技术经验的提高，最近死亡率有所降低。事实上，在过去两年中，进行了69例沃特斯顿分流术（33例年龄在12个月以下，17例年龄在6个月以下），无一例死亡。基于这一经验，讨论了不同类型的体-肺动脉分流术的适应症，以及一期和二期手术矫正选择相关的问题。作者认为，姑息手术在法洛四联症的治疗中仍发挥着重要作用，尽管未来的治疗方法很可能是早期完全矫正。根据他们的经验，最后一种方法仅限于解剖结构良好、年龄在18 - 24个月以上的儿童，以及所有4岁以上的患者。
