Crupi G, Alfieri O, Locatelli G, Villani M, Parenzan L
Thorax. 1979 Jun;34(3):290-3. doi: 10.1136/thx.34.3.290.
Fifty-six patients with tricuspid atresia and decreased pulmonary blood flow received a systemic-to-pulmonary artery anastomosis as a preliminary operation. Thirty-five had a Waterston shunt, 12 a Blalock-Taussig anastomosis, and nine various other procedures. The age at operation ranged from 2 days to 10 years (median 4.5 months). Pulmonary atresia was present in eight newborn infants. Four patients (7%), all less than 3 months old, died in hospital from persistent servere hypoxia despite the palliative procedure. By actuarial methods, 93% of the survivors were alive at and after one year (longest follow-up:9.8 years), while 83% had not required further palliation at and after four years from the first operation. None of the patients subsequently restudied had raised pulmonary pressure or resistances, and in most of them the pulmonary arterial tree was deemed adequate for the Fontan operation.
56例三尖瓣闭锁合并肺血流量减少的患者接受了体肺动脉吻合术作为初步手术。35例行Waterston分流术，12例行Blalock-Taussig吻合术，9例行其他各种手术。手术年龄从2天至10岁（中位年龄4.5个月）。8例新生儿存在肺动脉闭锁。4例患者（7%），均小于3个月，尽管接受了姑息手术，但仍因持续性严重缺氧死于医院。通过精算方法，93%的幸存者在1年及1年后存活（最长随访：9.8年），而83%的患者在首次手术后4年及4年后无需进一步姑息治疗。随后接受复查的患者中无一例出现肺动脉压力或阻力升高，且大多数患者的肺动脉树被认为适合进行Fontan手术。
