Pathway through the right atrium and pulmonary artery appliance tetralogy of Fallot.docVIP

 PAGE \* MERGEFORMAT 11 Pathway through the right atrium and pulmonary artery appliance tetralogy of Fallot Author: Chen Baojun, Cao ethics, Guo Wei, Zhao Ke, CHEN Zhi-guo, Lu Chi [Abstract] Objective To investigate the pathway through the right atrium and pulmonary artery appliance tetralogy of Fallot surgical indications and results of operations. Methods 39 patients in the transesophageal echocardiography (TEE) monitoring, the pathway through the right atrium and pulmonary artery line of tetralogy of Fallot correction surgery. Results 1 patients with postoperative acute renal failure by peritoneal dialysis is invalid, the 7th day after death, the rest survived. After determination of PRV / LV of 0.49 ± 0.18, RVEF (%) of 53 ± 5, low-dose dopamine and dobutamine support. 2 patients (5%) appears sporadic premature ventricular contractions. Postoperative follow-up 3 to 24 months, Ⅰ grade of 36 cases of cardiac function, Ⅱ grade 3 cases of cardiac function. Conclusion transesophageal echocardiography (TEE) under the supervision of patients with tetralogy of Fallot can be pathways through the right atrium and pulmonary artery appliance, and can protect the right heart function, reduce the incidence of arrhythmias. [Keywords:] Tetralogy of Fallot; right atrium; pulmonary artery [Abstract] Objective To explore the indications and results of the operations by transatrial and pulmonary repair of tetralogy of Fallot.Methods Under the guide of transesophageal echocardiography (TEE), 39 cases underwent transatrial and pulmonary repair of tetralogy of Fallot.Results All patients were very well except one case who died of acute renal failure the 7th day postoperatively.Postoperative measurement of PRV / LV and RVEF (%) were 0.49 ± 0.18 and 53 ± 5 respectively.Only small dose of Dopamine and Dobultamine to support the hearts.2 cases had occasional ventricular extrasystole (5%). Postoperative followed up for 3 ~ 24 months, 36 cases  cardiac function was NYHA