Ebert P A, Turley K, Stanger P, Hoffman J I, Heymann M A, Rudolph A M
Ann Surg. 1984 Oct;200(4):451-6. doi: 10.1097/00000658-198410000-00006.
One hundred six infants were seen at the University of California Medical Center between 1974 and 1981 with the diagnosis of truncus arteriosus. One hundred of these underwent physiologic correction prior to 6 months of age. Six infants died prior to operation while undergoing intense medical therapy to improve their basic condition. There were 11 operative deaths with a mortality rate of 11%. Of the 86 long-term survivors, 55 have returned for conduit change because of either body growth or pseudointima proliferation of the conduit. There had been no mortalities at the time of conduit change, and 29 of these were repaired using a straight tube between the ventricle and pulmonary trunk, while 26 had valve conduits placed. Physiologic correction in the first 6 months of life has been accomplished with a low mortality rate and apparent good long-term results with none of the survivors having evidence of elevated pulmonary vascular resistance.
1974年至1981年间，106名婴儿在加利福尼亚大学医学中心被诊断为共同动脉干。其中100名在6个月龄前接受了生理矫正。6名婴儿在接受强化药物治疗以改善基本状况时于手术前死亡。有11例手术死亡，死亡率为11%。在86名长期存活者中，55名因身体生长或管道假性内膜增生而返回更换管道。更换管道时无死亡病例，其中29例使用心室与肺动脉干之间的直管进行修复，26例植入了带瓣膜管道。在出生后的前6个月内进行生理矫正，死亡率较低，长期效果明显良好，所有存活者均无肺血管阻力升高的迹象。
