法洛四联症（Tetralogy of Fallot）.docVIP

法洛四联症（Tetralogy of Fallot） Tetralogy of Fallot with cyanotic congenital heart disease is the most common, is also common in congenital heart disease is the most serious one. It is a combined congenital cardiovascular malformation caused by hypoplasia of the right ventricular funnel or conus, including pulmonary stenosis, ventricular septal defect, aortic saddle, and hypertrophy of the right ventricle in four different pathological conditions. Operation method: the type of operation accepted by the patient during the first stage depends on the development of pulmonary artery in the operation. (1) palliative surgery: The treatment of tetralogy of Fallot is a diversion between the systemic circulation and the pulmonary circulation to increase the blood flow to the pulmonary circulation and to increase oxygenation. There is the anastomosis of the aorta with the pulmonary artery, the anastomosis of the vena cava with the right pulmonary artery, and the extension of the right ventricular outflow tract approach. Palliative surgery can not change the deformity of the heart itself, but it can improve the pulmonary blood flow, promote the development of pulmonary vessels, and make the radical operation for the future. (2) corrective surgery: Open heart repair of ventricular septal defect in extracorporeal circulation under the condition of open pulmonary stenosis or pulmonary resection, right ventricular infundibular stenosis and widened right ventricular outflow tract, is completely correct the deformity, good curative effect. The most serious complications were low cardiac output syndrome, arrhythmia (block), ventricular septal defect repair of residual shunt and CPB related complications (renal failure, respiratory dysfunction, nervous system injury). Operation indication and contraindication 1. the diagnosis is due to an operation. Asymptomatic children who were born within 3 months can be delayed until 3-12 months of radical surgery. Patients with severe symptoms can und