Bender H W, Fisher R D, Conkle D M, Martin C E, Graham T P
Ann Surg. 1976 Jun;183(6):685-90. doi: 10.1097/00000658-197606000-00011.
Eighty-one patients with tetralogy of Fallot malformations evaluated between July 1, 1971 and November, 1975 are presented. Fifty-one patients underwent primary intracardiac repair; three died. Twenty-seven patients were corrected after a previous palliative shunt; there was one death. Three additional patients have been palliated and are awaiting repair. While the overall mortality in these patients was less than 5%, the infants undergoing total correction before the age of two years appeared to be at greater risk (25%). There were no deaths in the group of patients undergoing palliative procedures. Based on these data it appears that a safely performed palliative shunt in the symptomatic small infant is a reasonable first step, particularly if the outflow tract of the right ventricle is diffusely hypoplastic.
本文介绍了1971年7月1日至1975年11月期间接受评估的81例法洛四联症畸形患者。51例患者接受了初次心内修复；3例死亡。27例患者在先前的姑息性分流术后得到矫正；1例死亡。另有3例患者已接受姑息治疗，正在等待修复。虽然这些患者的总体死亡率低于5%，但两岁前接受完全矫正的婴儿似乎风险更大（25%）。接受姑息性手术的患者组中无死亡病例。基于这些数据，对于有症状的小婴儿，安全实施的姑息性分流术似乎是合理的第一步，特别是如果右心室流出道弥漫性发育不良。
