Clinical study of staged repair for tetralogy of Failot with pulmonary artery hypoplasty
- VernacularTitle:肺动脉发育不良的法洛四联症分期手术37例
- Author:
Ju MEI
;
Fang-Bao DING
;
Chun-Rong BAO
;
Jiahua HAO
;
Yiqing WANG
;
Xiao XIE
;
- Publication Type:Journal Article
- Keywords:
Tetralogy of Fallot;
Cardiac surgical procedures;
Systemic-pulmonary shunt;
McGoon Ratio;
Nakata Index
- From:Chinese Journal of Thoracic and Cardiovascular Surgery
1995;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of staged repair for tetralogy of Fallot (TOF) associated with pulmonary artery hy- poplasty.Methods From June 1996 to June 2006,37 patients with TOF were operated on.There were 26 males and 11 females. Their age was 5 months to 17 years(mean 3.6 years) and weight was 4.6～38.0 kg.All patients were diagnosed as TOF with pulmo- nary artery hypoplasty by cardiac catheterization.The mean pre-operative arterial saturation of the patients was (68.2?6.5) %,Mc- Coon ratio was 0.95?0.26 (0.81～1.17) and Nakata index was 82.7?21.6(71.6～97.5) mm~3/m~2.At the time of the first surgi- cal procedure,17 patients underwent central aortopulmonary shunt,13 patients received modified Blalock-Taussig shunt in the left side and 7 patients had modified Blalock-Taussig shunt in the right side.Results There were no easly operative deaths and no late deaths after the first stage repair.Pleural effusion after shunt occurred in 5 patients.The mean arterial saturation was significantly increased to (91.3?10.4) %,P
