Cen Yuhang,Lu Yanan.Application of valve-sparing surgery for tetraolgy of Fallot[J].Journal of Clinical Pediatric Surgery,2025,(02):191-195.[doi:10.3760/cma.j.cn101785-202404058-016]
Application of valve-sparing surgery for tetraolgy of Fallot
- Keywords:
- Tetralogy of Fallot; Cardiac Surgical Procedures; Methods; Postoperative Complications; Pulmonary Valve Insufficiency; Pulmonary Valve; Valve Sparing
- Abstract:
- As a common congenital cyanotic heart disease,tetralogy of Fallot (TOF) accounts for 5%-7% of congenital heart diseases (CHDs).Currently surgery has been a major treatment for TOF and long-term outcomes are satisfactory.The objectives of surgery include relieving stenosis of right ventricular outflow tract,closing ventricular septal defects,preserving pulmonary valve and maintaining right ventricular function as much as possible.Pulmonary regurgitation (PR) is a common complication after TOF surgery and it is an important factor leading to many adverse outcomes.In addition to postoperative PR with pulmonary valve replacement,valve-sparing surgery has gradually become a preferred option for TOF.It can effectively prevent the onset or aggravation of postoperative PR and improve patient outcomes.This review focused upon the indications,strategies,prognoses and challenges of valve-sparing surgery.
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Memo
收稿日期:2024-4-26。
通讯作者:鲁亚南,Email:luyanan@yahoo.com