Grudnaia i serdechno-sosudistaia khirurgiia · 1990
[Radical correction of tetralogy of Fallot in infants under 1 year of age].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Aleksi-Meskhishvili V V, Nikoliuk A P, Garibian V A, Borisov V I, Vedernikova L A, Il'in V N
Аннотация
The article generalizes the experience in surgical treatment of Fallot's tetrad in 20 infants. Radical correction of the anomaly was carried out under extracorporeal circulation and deep hypothermia with reduced volume rate of perfusion. Plastics of the conus arteriosus alone was performed in 6 patients, transanulus and the pulmonary trunk in 4 patients. Two patients died, the hospital lethality was 10%. A clinical effect was produced in all the other patients. The relation of systolic pressure in the left ventricle to that in the right ventricle was 0.56 +/- 0.1, the systolic pressure gradient between the right ventricle and the pulmonary artery was 18 +/- 4.2 mm Hg. Various degree of regurgitation at the pulmonary valve was revealed after the operation in all patients. It was maximum (34 +/- 10%) in transanulus plastics.