法洛四联症外科治疗
Surgical Treatment of Tetralogy of Fallot
DOI: 10.12677/ACM.2023.133426, PDF,   
作者: 寇龙伟, 殷开斅, 马松峰*：新疆医科大学第一附属医院小儿心胸外科，新疆 乌鲁木齐
关键词: 法洛四联症；姑息治疗；根治术；并发症；Tetralogy of Fallot； Palliative Treatment； Radical Surgery； Complications
摘要: 法洛四联症是最常见的先天性心脏病之一，位居紫绀型先天性心脏病的首位，右心室流出道严重梗阻的婴儿未进行手术干预的死亡率为25%，3岁时死亡率为40%，10岁时死亡率为70%，40岁时死亡率为95%，因此尽早进行外科干预十分必要。现参考国内外近年来相关文献，对法洛四联症姑息手术、根治手术的发展历史，一些面临的主要问题及主要并发症做一综述。
Abstract: Tetralogy of Fallot is one of the most common congenital heart diseases, ranking first in cyanotic congenital heart disease. The mortality rate of infants with severe right ventricular outflow tract obstruction without surgical intervention was 25%, 40% at 3 years old, 70% at 10 years old and 95% at 40 years old, so it is necessary to carry out surgical intervention as soon as possible. Referring to the relevant literature at home and abroad in recent years, this paper reviews the development history, main problems and complications of palliative and radical surgery for tetralogy of Fallot.
文章引用：寇龙伟, 殷开斅, 马松峰. 法洛四联症外科治疗[J]. 临床医学进展, 2023, 13(3): 3006-3011. https://doi.org/10.12677/ACM.2023.133426

参考文献

[1] Van Der Linde, D., Konings, E.E., Slager, M.A., et al. (2011) Birth Prevalence of Congenital Heart Disease Worldwide: A Systematic Review and Meta-Analysis. Journal of the American College of Cardiology, 58, 2241-2247. [Google Scholar] [CrossRef] [PubMed]
[2] Fallot, E. (1888) Contribution a l’anatomie pathologique de la maladie bleu (cyanose cardiaque). Marseille Médical, 25, 77-93.
[3] Townsley, M.M., Windsor, J., Briston, D., Alegria, J. and Ramakrishna, H. (2019) Tetralogy of Fallot: Perioperative Management and Analysis of Outcomes. Journal of Cardiothoracic and Vascular Anesthesia, 33, 556-565. [Google Scholar] [CrossRef] [PubMed]
[4] Phillips, S. and Pirics, M. (2017) Congenital Heart Disease and Reproductive Risk: An Overview for Obstetricians, Cardiologists, and Primary Care Providers. Methodist DeBakey Cardiovascular Journal, 13, 238-242. [Google Scholar] [CrossRef] [PubMed]
[5] Rabinovitch, M., Herrera-deLeon, V., Castaneda, A.R. and Ried, L. (1981) Growth and Development of the Pulmonary Vascular Bed in Patients with Tetralogy of Fallot with or without Pulmonary Atresia. Circulation, 64, 1234-1249 [Google Scholar] [CrossRef] 
[6] Bigdelian, H., Ghaderian, M. and Sedighi, M. (2018) Surgical Repair of Tetralogy of Fallot Following Primary Palliation: Right Ventricular Outflow Track Stenting versus Modified Blalock-Taussig Shunt. Indian Heart Journal, 70, S394-S398. [Google Scholar] [CrossRef] [PubMed]
[7] Blalock, A. and Taussig, H.B. (1945) The Surgical Treatment of Malformations of the Heart in Which There Is Pulmonary Stenosis or Pulmonary Atresia. JAMA, 128, 189-202. [Google Scholar] [CrossRef] 
[8] Moulton, A.L., Brenner, J.I., Ringel, R., Nordenberg, A., Berman, M.A., Ali, S. and Burns, J. (1985) Classic versus Modified Blalock-Taussig Shunts in Neonates and Infants. Circulation, 72, II35-II44.
[9] Batra, A.S., Starnes, V.A. and Wells, W.J. (2005) Does the Site of Insertion of a Systemic-Pulmonary Shunt Influence Growth of the Pulmonary Arteries? The Annals of Thoracic Surgery, 79, 636-640. [Google Scholar] [CrossRef] [PubMed]
[10] Baruteau, A.E., Serraf, A., Lévy, M., et al. (2012) Potts Shunt in Children with Idiopathic Pulmonary Arterial Hypertension: Long-Term Results. The Annals of Thoracic Sur-gery, 94, 817-824. [Google Scholar] [CrossRef] [PubMed]
[11] Barozzi, L., Brizard, C.P., Galati, J.C., Konstantinov, I.E., Bohuta, L. and d’Udekem, Y. (2011) Side-to-Side Aorto-GoreTex Central Shunt Warrants Central Shunt Patency and Pulmonary Arteries Growth. The Annals of Thoracic Surgery, 92, 1476-1482. [Google Scholar] [CrossRef] [PubMed]
[12] Khairy, P., Aboulhosn, J., Gurvitz, M.Z., et al. (2010) Ar-rhythmia Burden in Adults with Surgically Repaired Tetralogy of Fallot. Circulation, 122, 868-875. [Google Scholar] [CrossRef] 
[13] Waterston, D.J., Stark, J. and Ashcraft, K.W. (1972) Ascending Aorta-to-Right Pulmonary Artery Shunts: Experience with 100 Patients. Surgery, 72, 897-904.
[14] 易定华, 徐志云, 王辉山. 心脏外科学[M]. 第2版. 北京: 人民军医出版社, 2016: 1169-1203.
[15] Lillehei, C.W., Cohen, M., Warden, H.E., et al. (1955) Direct Vision Intracardiac Surgical Correction of the Tetralogv of Fallot, Pentalogy of Fallot, and Pulmonary Atresia Defects: Report of First Ten Cases. Annals of Surgery, 142, 418-445. [Google Scholar] [CrossRef] [PubMed]
[16] Lillehei, C.W., Varco, R.L., Cohen, M., et al. (1986) The First Open Heart Corrections of Tetralogy of Fallot: A 26-31 Year Follow-up of 106 Patients. Annals of Surgery, 204, 490-502. [Google Scholar] [CrossRef] [PubMed]
[17] Kirklin, J.W., DuShane, J.W., Patrick, R.T., Donald, D.E., Hetzel, P.S., Harshbarger, H.G. and Wood, E.H. (1955) Intracardiac Surgery with the Aid of a Mechanical Pump-Oxygenator System (Gibbon Type): Report of Eight Cases. Proceedings of the Staff Meetings of the Mayo Clinic, 30, 201-206.
[18] Kirklin, J.W., Payne, W.S., Theye, R.A. and Dushane, J.W. (1960) Factors Affecting Survival after Open Operation for Tetralogy of Fallot. Annals of Surgery, 152, 485-493. [Google Scholar] [CrossRef] 
[19] Pacifico, A.D., Kirklin, J.K., Colvin, E.V., McConnell, M.E. and Kirklin, J.W. (1990) Tetralogy of Fallot: Late Results and Reoperations. Seminars in Thoracic and Cardio-vascular Surgery, 2, 108-116.
[20] Goor, D.A., Lavee, J., Smolinsky, A., Milo, S., Blieden, L.C., Shem-Tov, A. and Neufeld, H.N. (1981) Correction of Tetrad of Fallot with Reduced Incidence of Right Bundle Branch Block. The American Journal of Cardiology, 48, 892-896. [Google Scholar] [CrossRef] [PubMed]
[21] Kawashima, Y., Matsuda, H., Hirose, H., Nakano, S., Shirakura, R., Kobayashi, J. and Mohri, H. (1985) Ninety Consecutive Corrective Operations for Tetralogy of Fallot with or without Minimal Right Ventriculotomy. The Journal of Thoracic and Cardiovascular Surgery, 90, 856-863. [Google Scholar] [CrossRef] 
[22] Kavey, R.-E., Bove, E.L., Byrum, C.J., Blackman, M.S. and Sondheimer, H.M. (1987) Postoperative Functional Assessment of a Modified Surgical Approach to Repair of Tetralogy of Fallot. The Journal of Thoracic and Cardiovascular Surgery, 93, 533-538. [Google Scholar] [CrossRef] 
[23] Gatzoulis, M.A., Till, J.A., Somerville, J. and Redington, A.N. (1995) Mechanoelectrical Interaction in Tetralogy of Fallot: QRS Prolongation Relates to Right Ventricular Size and Predicts Malignant Ventricular Arrhythmias and Sudden Death. Circulation, 92, 231-237. [Google Scholar] [CrossRef] 
[24] Sasson, L., Houri, S., Sternfeld, A.R., Cohen, I., Lenczner, O., Bove, E.L., et al. (2013) Right Ventricular Outflow Tract Strategies for Repair of Tetralogy of Fallot: Effect of Monocusp Valve Reconstruction. European Journal of Cardio-Thoracic Surgery, 43, 743-751. [Google Scholar] [CrossRef] [PubMed]
[25] Sasikumar, N., Ramanan, S., Rema, K.M.S., Kumar, R.S., Subramanyan, R. and Cherian, K.M. (2014) Prosthetic Reconstruction of Bicuspid Pulmonary Valve in Tetralogy of Fallot. Asian Cardiovascular and Thoracic Annals, 22, 436-441. [Google Scholar] [CrossRef] [PubMed]
[26] Lee, C., Lee, C.H. and Kwak, J.G. (2016) Polytetrafluoroethylene Bicuspid Pulmonary Valve Replacement: A 5-Year Experience in 119 Patients with Congenital Heart Disease. The Annals of Thoracic Surgery, 102, 163-169. [Google Scholar] [CrossRef] [PubMed]
[27] Ishimaru, K., Kanaya, T., Sakamoto, S. and Sawa, Y. (2018) Trileaflet Pulmonary Valve Reconstruction for Pulmonary Regurgitation in Childhood. Interactive CardioVascular and Thoracic Surgery, 27, 914-915. [Google Scholar] [CrossRef] [PubMed]
[28] Vida, V.L., Guariento, A., Zucchetta, F., Padalino, M., Castaldi, B. and Milanesi, O. (2016) P Preservation of the Pulmonary Valve during Early Repair of Tetralogy of Fallot: Surgical Tech-niques. Seminars in Thoracic and Cardiovascular Surgery, 19, 75-81. [Google Scholar] [CrossRef] [PubMed]
[29] Nollert, G., Fischlein, T., Bouterwek, S., Böhmer, C., Klinner, W. and Reichart, B. (1997) Long-Term Survival in Patients with Repair of Tetralogy of Fallot: 36-Year Follow-Up of 490 Survivors of the First Year after Surgical Repair. Journal of the American College of Cardiology, 30, 1374-1383. [Google Scholar] [CrossRef] 
[30] Jacobs, J.P., Mayer Jr., J.E., Pasquali, S.K., et al. (2018) The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2018 Update on Outcomes and Quality. The Annals of Thoracic Surgery, 105, 680-689. [Google Scholar] [CrossRef] [PubMed]
[31] Cedars, A., Benjamin, L., Vyhmeister, R., et al. (2016) Contemporary Hospitalization Rate among Adults with Complex Congenital Heart Disease. World Journal for Pediatric and Congenital Heart Surgery, 7, 334-343. [Google Scholar] [CrossRef] [PubMed]
[32] D’Udekem, Y., Galati, J.C., Rolley, G.J., et al. (2014) Low Risk of Pulmonary Valve Implantation after a Policy of Transatrial Repair of Tetralogy of Fallot Delayed beyond the Neonatal Period: The Melbourne Experience over 25 Years. Journal of the American College of Cardiology, 63, 563-568. [Google Scholar] [CrossRef] [PubMed]
[33] Talwar, S., Sujith, N.S., Rajashekar, P., Makhija, N., Sreenivas, V., Upadhyay, A.D., Sahu, M.K. and Shiv Kumar, C. (2021) Modified Ultrafiltration and Postoperative Course in Patients Undergoing Repair of Tetralogy of Fallot. Journal of Cardiac Surgery, 36, 3679-3687. [Google Scholar] [CrossRef] [PubMed]
[34] Prodan, Z., Mroczek, T., Sivalingam, S., Bennink, G., Asch, F.M., Cox, M., Carrel, T., the Xeltis BV Working Group, Yakub, M.A., Nagy, Z., Skalski, J., Svanidze, O., Schutte, E., Verhees, L., Klersy, C., Virmani, R. and Sreeram, N. (2022) Initial Clinical Trial of a Novel Pulmonary Valved Conduit. Seminars in Thoracic and Cardiovascular Surgery, 34, 985-991. [Google Scholar] [CrossRef] [PubMed]
[35] Padalino, M.A., Cavalli, G., Albanese, S.B., et al. (2017) Long-Term Outcomes Following Transatrial versus Transventricular Repair on Right Ventricular Function in Tetralogy of Fallot. Journal of Cardiac Surgery, 32, 712-720． [Google Scholar] [CrossRef] [PubMed]
[36] Cuypers, J.A.A.E., Menting, M.E., Konings, E.E., et al. (2014) Unnatural History of Tetralogy of Fallot: Prospective Follow-Up of 40 Years after Surgical Correction. Circulation, 130, 1944-1953. [Google Scholar] [CrossRef] 
[37] Gatzoulis, M.A., Balaji, S., Webber, S.A., Siu, S.C., Hokanson, J.S., Poile, C., Rosenthal, M., Nakazawa, M., Moller, J.H., Gillette, P.C., Webb, G.D. and Redington, A.N. (2000) Risk Factors for Arrhythmia and Sudden Cardiac Death Late after Repair of Tetralogy of Fallot: A Multi-centre Study. Lancet, 356, 975-981. [Google Scholar] [CrossRef] 
[38] Luijten, L.W.G., van den Bosch, E., Duppen, N., Tanke, R., Roos-Hesselink, J., Nijveld, A., van Dijk, A., Bogers, A.J.J.C., van Domburg, R. and Helbing ,W.A. (2015) Long-Term Outcomes of Transatrial-Transpulmonary Repair of Tetralogy of Fallot. European Journal of Cardio-Thoracic Surgery, 47, 527-534. [Google Scholar] [CrossRef] [PubMed]
[39] Mouws, E.M.J.P., Roos-Hesselink, J.W., Bogers, A.J.J.C. and de Groot, N.M.S. (2017) Coexistence of Tachyarrhythmias in Patients with Tetralogy of Fallot. Heart Rhythm, 15, 503-511. [Google Scholar] [CrossRef] [PubMed]
[40] Ramdjan, T.T.T.K., Mouws, E.M.J.P., Teuwen, C.P., Sitorus, G.D.S., Houck, C.A., Bogers, A.J.J.C. and de Groot, N.M.S. (2017) Progression of Late Postoperative Atrial Fibrillation in Patients with Tetralogy of Fallot. Journal of Cardiovascular Electrophysiology, 29, 30-37. [Google Scholar] [CrossRef] [PubMed]

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