Li Shoujun,Ma Kai.Improved techniques for right ventricular outflow tract reconstruction in tetralogy of Fallot repair and their impact on middle/long-term outcomes[J].Journal of Clinical Pediatric Surgery,,():801-805.[doi:10.3760/cma.j.cn101785-202505051-001]
Improved techniques for right ventricular outflow tract reconstruction in tetralogy of Fallot repair and their impact on middle/long-term outcomes
- Keywords:
- Heart Diseases; Ventricular Dysfunction; Right; Anesthesia; Cardiac Procedures; Child
- Abstract:
- Tetralogy of Fallot (TOF) is the most common type of cyanotic congenital heart disease.Surgical reconstruction of right ventricular outflow tract has been a major cornerstone of corrective repair.Among various surgical strategies, pulmonary valve-sparing techniques have gained greater prominence for lowering postoperative pulmonary regurgitation and delaying right ventricular dysfunction.However, for underdeveloped pulmonary valves, transannular patch repair remains indispensable and multiple modified techniques have been introduced to optimal outcomes.A rational selection of surgical indications, accurate assessments of valvular anatomy and refinements of surgical approaches in primary repair are critical challenges in current managements of TOF.This review summarized the advancements in right ventricular outflow tract reconstruction techniques in TOF repair and their impact on middle/long-term outcomes.
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Memo
收稿日期:2025-5-30。
基金项目:中国医学科学院临床与转化医学研究专项(2023-I2M-C&T-B-059)
作者简介:李守军,E-mail:drlishoujunfw@yahoo.com