Podzolkov V P, Plotnikov L R, Ngven'ia L
Grud Serdechnososudistaia Khir. 1993(2):8-10.
In the period from 1982 to 1991, 74 radical corrections of tetralogy of Fallot were carried out on patients 18 to 40 years of age. In 37 of them the correction was preceded by various palliative interventions. The course of the disease was distinguished by a lesser frequency of episodes with dyspnea and marked cyanosis than in the younger age group (up to 18 years). The radical correction of the anomaly included only infundibulectomy in 7% of cases, infundibulectomy and plastic distention of the outflow tract of the right ventricle in 28%, while in 65% of cases reconstruction of the pulmonary trunk or its branches was conducted in addition. The hospital mortality was 9.3% and did not differ essentially from that in the younger age group. Mortality was somewhat higher in primary correction of tetralogy of Fallot than after earlier performed palliative interventions (10.8 and 8%, respectively). It is concluded that the patients' age is not a contraindication for radical correction of tetralogy of Fallot.
在1982年至1991年期间，对18至40岁的法洛四联症患者进行了74例根治性矫正手术。其中37例在矫正手术前进行了各种姑息性干预。与较年轻年龄组（18岁以下）相比，该疾病病程中呼吸困难和明显发绀发作的频率较低。在7%的病例中，对该畸形的根治性矫正仅包括肺动脉漏斗部切除术；28%的病例包括肺动脉漏斗部切除术和右心室流出道整形扩张；而在65%的病例中，还进行了肺动脉干或其分支的重建。医院死亡率为9.3%，与较年轻年龄组相比无本质差异。法洛四联症一期矫正的死亡率略高于早期进行姑息性干预后的死亡率（分别为10.8%和8%）。结论是，患者年龄并非法洛四联症根治性矫正的禁忌证。
