法洛四联症在主肺动脉吻合术后的修复。

Repair of tetralogy of Fallot after aortopulmonary anastomosis.

作者信息

Sade R M, Sloss L, Treves S, Bernhard W F, Castaneda A R

出版信息

Ann Thorac Surg. 1977 Jan;23:32-8. doi: 10.1016/s0003-4975(10)64065-9.

Abstract

Thirty-eight corrective operations have been performed in patients with tetralogy of Fallot and a functioning aortopulmonary shunt. There were 3 operative deaths (7.9%) and 1 late death (2.6%), and 3 patients have required reoperation for significant residual defects. Only 1 of 10 patients studied postoperatively by radionuclide scanning has a significant reduction in blood flow to the lung on the side of the closed shunt. We conclude that the presence of an aortopulmonary shunt does not add to the risk of repair in patients with tetralogy of Fallot and that mortality after such operations is related to the complex anatomy often present in patients of this group.

摘要

对患有法洛四联症且动脉肺分流功能良好的患者进行了38次矫正手术。有3例手术死亡（7.9%）和1例晚期死亡（2.6%），3例患者因严重残余缺陷需要再次手术。在术后接受放射性核素扫描的10例患者中，只有1例在闭合分流一侧的肺部血流有显著减少。我们得出结论，动脉肺分流的存在不会增加法洛四联症患者修复手术的风险，此类手术后的死亡率与该组患者常出现的复杂解剖结构有关。