Saatvedt K, Lindberg H, Seem E, Geiran O R, Tjønneland S
Kirurgisk avdeling A Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 1994 May 20;114(13):1517-9.
Surgical repair of tetralogy of Fallot may be a first stage palliation with secondary physiologic correction or repair as a primary procedure. The aim of palliation is to increase the pulmonary blood flow. Since 1981 we have used an interposition shunt between the subclavian and the pulmonary artery for this purpose. Repair comprises closure of the ventricular septal defect and relief of the pulmonary stenosis. A primary repair may be performed if the pulmonary arteries have reached a certain size. The size and function of the left ventricle must also be able to cope with the increased work load. During the last 20 years, 333 operative procedures have been performed in patients with tetralogy of Fallot. This material comprises 107 shunts and 226 repairs. The total mortality while in hospital was 6%. During the last period from 1990 until January 1993 the mortality in hospital was 3% after operative repair. There have been no mortality following palliative procedures during the same period.
法洛四联症的外科修复可以是一期姑息性手术，随后进行二期生理性矫正或修复作为主要手术。姑息性手术的目的是增加肺血流量。自1981年以来，我们一直为此目的在锁骨下动脉和肺动脉之间置入分流管。修复包括室间隔缺损的闭合和肺动脉狭窄的解除。如果肺动脉达到一定大小，则可进行一期修复。左心室的大小和功能也必须能够应对增加的工作负荷。在过去20年中，已对法洛四联症患者进行了333例手术。这些病例包括107例分流手术和226例修复手术。住院期间的总死亡率为6%。在1990年至1993年1月的最后阶段，手术修复后的住院死亡率为3%。同期姑息性手术后无死亡病例。
