Gao Zhan,Zhang Benqing,Jiang Huaping,et al.Outcomes of Anatomical Repair for Tetralogy of Fallot: Role of Limited Right Ventriculotomy[J].Journal of Clinical Pediatric Surgery,,20():843-847.[doi:10.12260/lcxewkzz.2021.09.008]
Outcomes of Anatomical Repair for Tetralogy of Fallot: Role of Limited Right Ventriculotomy
- CLC:
- R654.25;R541;R726.1
- Abstract:
- Objective To compare the clinical results of restrictive right ventricle (RV) and traditional right ventricular incision in radical surgery for tetralogy of Fallot.Methods A retrospective analysis was performed on patients diagnosed of TOF and undergoing radical operation with preserved pulmonary valve from January 2019 to May 2021.The patients were divided into traditional right ventriculotomy(RV)group and limited RV group according to different surgical procedures.Main endpoints included death, prolonged mechanical ventilation, pericardial effusion and refractory pleural effusion. Results 50 cases of TOF were included with a median age of 8.1 (2.3-20.1) months and a median weight of 8.4 (4.9-11.2) kg.26 patients underwent traditional RV approach while the other 24 underwent limited RV.Mean right:left ventricle pressure ratio after cardiopulmonary bypass was 0.58±0.21.There was no death documented in the early post-operation and during follow-up.Except the limited RV group witnessed obvious decline in refractory pleural effusion(38.4% vs.12.5%, P=0.037)and right ventricle dysfunction(26.9% vs.0%, P=0.001), the main perioperative endpoints have no statistically significant inter-group differences. Conclusion For patients with functional pulmonary valve, the limited right ventriculotomy in TOF repair could remove right ventricular outflow tract obstruction, maintain the right ventricular function and improve surgical outcomes.
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Memo
收稿日期:2021-05-27。
基金项目:十三五国家重点研发计划（编号：2017YFC1308100）
通讯作者:张本青,Email:fuwaizhbq@139.com