DU Chao jun,DING Li,HU Ying chao,et al.Surgical treatment of Tetralogy of Fallot in infancy: Experiences of 83 cases.[J].Journal of Clinical Pediatric Surgery,,9():413.
Surgical treatment of Tetralogy of Fallot in infancy: Experiences of 83 cases.
- Keywords:
- Infant; Tetralogy of Fallot; Surgical treatment
- Document code:
- A
- Abstract:
- ObjectiveTo discuss the correlations between surgical timing, operative methods and Shortterm effects of surgery so as to improve the effects of surgical correction for Tetralogy of Fallot (TOF) by evaluating the outcomes of surgical treatment in 83 infants with TOF.MethodsFrom Aug 2003 to May 2008, surgical corrections were performed in 83 infants with TOF, aged from 2 to 26 moths, weight from 3.5 to 13kg. All patients were diagnosed by echocardiography (ECG), one of which also by angiocardiography. Hypoxic spells were found in 17 cases before surgery, mechanical ventilation was needed in 1 of them. 75 cases underwent onestage radical operations, about 90 percent of them had surgical repairs for ventricular septal defect (VSD) through right atrium approach, 62 cases received enlargement procedures of right ventricular outflow tract (RVOT) across the pulmonary valve ring. Palliative operation, systemicpulmonary arterial shunt (BlalockTaussig shunt or BT shunt), was used in 8 cases according to their McGoon index and left ventricle development status, twostage radical operation was done in 3 of them 11 to 15 months later. Results Good prognosis can be expected for infants’ TOF when Mcgoon index ≥ 1.28. 79 cases survived. Of 4 dead cases, 2 died after one-stage radical surgery and the other 2 after palliative procedure, with 4.7 percent of mortality. All cases were followed up from 3 to 62 months with no death found.ConclusionsThere is a significant positive correlation between the surgical effects and Mcgoon index. Respectable results can be found in the one-stage radical procedures for infants’ TOF. Twostage surgical corrections are still needed in a few of severe cases.
References:
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通讯作者：丁力dingli200658@163.com基金项目：安徽省卫生厅关键性技术应用研究资助课题（05A031）