The radical surgery for tetralogy of Fallot combined with right pulmonary artery stenosis
10.3760/cma.j.issn.1008-6315.2011.10.007
- VernacularTitle:合并右肺动脉狭窄的法洛四联症根治性手术治疗
- Author:
Miao LIU
;
Hongyao XU
;
Tingzhao GAO
;
Pingfan WANG
;
Faming HE
;
Youjin LI
;
Fei GAO
- Publication Type:Journal Article
- Keywords:
Right pulmonary artery stenosis;
Tetralogy of Fallot;
Radical surgery
- From:
Clinical Medicine of China
2011;27(10):1028-1030
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the radical surgery for tetralogy of Fallot combined with right pulmonary artery stenosis.Methods Thirteen cases with tetralogy of Fallot combined with right pulmonary artery stenosis accepted radical surgery,among them 7 cases who-had a long right pulmonary artery stenosis accepted aortic transaction for radical surgery of tetralogy of Fallot;5 cases who had the entrance stenosis of the right pulmonary artery accepted right pulmonary artery patch expansion for radical surgery of tetralogy of Fallot;One case who had the distortion and stenosis after pulmonary shunt accepted the radical surgery for tetralogy of Fallot after seperation and expansion.Results There were no operation-related deaths,post-operative low cardic output and perfusion lung occurred for all the cases.Ten cases had grade 1 cardiac function and 3 cases had grade 2,respectively.Conclusion Right pulmonary artery stenosis increased the risks during the radical surgery for tetralogy of Fallot,but it is still the primary operation choice.