经右房、右室流出道小切口或经右房肺动脉行法乐四联症根治术体会

EXPERIENCE IN CORRECTIVE OPERATION FOR TETRALOGY OF FALLOT BY TRANSATRIAL APPROACH WITH A MINIMAL RIGHT VENTRICULOTOMY OR PULMONARY ARTERY INCISION

本文报道２５例法乐四联症根治术，经右房径路修补室间隔缺损，通过右室流出道小切口或经右房肺动脉径路重建右室出口。对手术方法和临床意义进行讨论。此方法能减轻对右室心肌的损伤，有利于保护右室功能，从而提高手术疗效。

This paper reported 25 cases of tetralogy of Fallot treated by corrective operation through right atrial incision to repair the VSD and a minimal right ventriculotomy or pulmonary artery incision to relieve the obstruction of the right ventricular outflow tract with satisfactory results. The operative technique and the clinical significance were discussed. This technique reduces the right ventricular injury and is beneficial to preserve the right ventricular function. Thus, the curative effect of the operation is improved.