Rammohan M, Airan B, Bhan A, Sharma R, Srivastava S, Saxena A, Sampath K A, Venugopal P
Department of Cardiothoracic and Vascular Surgery Cardiothoracic Sciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Int J Cardiol. 1998 Jan 31;63(2):121-8. doi: 10.1016/s0167-5273(97)00279-9.
A total of 100 patients of tetralogy of Fallot aged 13 years and over were operated upon at the All India Institute of Medical Sciences, New Delhi, India between January 1991 and December 1996. There were 69 males (69%) and 31 females (31%). Age ranged from 13 years to 43 years (mean 19.66 years). Twenty % of patients had preoperative complications like haemoptysis, cerebrovascular accidents, brain abscess and infective endocarditis. Twenty-two patients had previous palliative shunts. Fifteen patients had coil embolisation of major collaterals prior to surgery. In hospital mortality rate was 4%. Follow-up ranged from 1 month to 5 years (mean 3.4 years). There was one late death due to infective endocarditis. Postoperatively 93.6% patients were in NYHA class I. Significant residual defects warranting re-operation were present in three patients. Total correction of tetralogy of Fallot in older patients can be performed with acceptable results.
1991年1月至1996年12月期间，印度新德里全印医学科学研究所对100例年龄在13岁及以上的法洛四联症患者进行了手术。其中男性69例（69%），女性31例（31%）。年龄范围为13岁至43岁（平均19.66岁）。20%的患者术前有咯血、脑血管意外、脑脓肿和感染性心内膜炎等并发症。22例患者曾接受过姑息性分流术。15例患者在手术前对主要侧支血管进行了弹簧圈栓塞。住院死亡率为4%。随访时间为1个月至5年（平均3.4年）。有1例因感染性心内膜炎晚期死亡。术后93.6%的患者心功能分级为纽约心脏协会（NYHA）I级。3例患者存在需要再次手术的明显残余缺陷。老年患者法洛四联症的完全矫正手术可取得可接受的效果。
