Liu J S, Wang Z W
General Hospital of Shenyang Military Area.
Zhonghua Wai Ke Za Zhi. 1994 Mar;32(3):172-4.
2249 patients underwent correction of tetralogy of fallot in our department. 23 of them were with unilateral absence of pulmonary artery, 19 absence of the left pulmonary artery, 4 absence of the right pulmonary artery. The age at operation ranged from 4 to 21 years. Valve-containing conduits were used in 9 patients and right ventricular outflow patch in 14 patients. There were two operative death who both had hypoplasia of the left ventricle. All survivors had good early and late results. Outflow patch with a single valve should be used in tetralogy of fallot with a single pulmonary artery and pulmonary valve ring stenosis. Aorticvalved homograft conduit is suit for the patient with anomalous coronary or pulmonary atresia.
我科共对2249例法洛四联症患者进行了矫治。其中23例为单侧肺动脉缺如，19例为左肺动脉缺如，4例为右肺动脉缺如。手术年龄为4至21岁。9例患者使用了带瓣管道，14例患者使用了右心室流出道补片。有2例手术死亡患者均合并左心室发育不良。所有存活患者均获得了良好的早、晚期效果。对于合并单支肺动脉及肺动脉瓣环狭窄的法洛四联症患者，应使用带单瓣膜的流出道补片。带主动脉瓣同种异体移植物管道适用于合并冠状动脉异常或肺动脉闭锁的患者。
