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《Journal of Applied Clinical Pediatrics》 2009-01
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Tetralogy of Fallot combined with Abnormity in 619 Children

BAI Shu-xia,LI Yun,HUANG Mei-rong,GAO Wei,YU Zhi-qing(Department of Pediatric Cardiology,Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)  
Objective To provide some knowledge for surgery design methods of surgery and evaluate prognosis through explore the possible occurrence of associated abnormities with tetralogy of Fallot(TOF)in children.Methods Six hundred and nineteen children with TOF were selected from Jan.1999 to Feb.2004 in Shanghai Children's Medical Center,which including 389 male and 230 female and aged 1 month to 16 years.All children received cardiac catheterization and right and left ventricular angiography,616 cases retrograde ascending aorta angiography,82 cases descending aorta angiography.Associated Abnormity with TOF were recorded and reviewed.Results Among the 619 cases,385 cases(62.2%)were identified to have the abnormalities,the abnormalities of aorta was 112 cases(18.1%),94 cases had defect in pulmonary artery(15.2%),artrium septal defect 91 cases(14.7%),patent ductus arteriosus defect 87 cases(14.1%),collateral vessel defect 75 cases(12.1%),left epicoele surviving defect 49 cases(7.9%),coronary artery defect 23 cases(3.7%),vagus left subclavia arteria defect 14 cases(2.3%),ventricular septal defect 9 cases(1.45%),tricuspid valve returning 7 cases(1.1%),complete auriculo-ventricular channel,complete pulmonary vein dystopia draining 3 cases each(0.48%,respectively),stenosis of right ventricular outflow tract,left ventricular dysplasia defect 2 cases each(0.32%,respectively),tricuspid stenosis,part pulmonary vein dystopia draining,dextraposition heart defect each 1 case(0.16%,respectively).Conclusions Various kinds of associated abnormities would be not rarely encountered in TOF,the abnormities of pulmonary artery,collateral vessel,coronary artery,ventricular septal defect,and so on,significantly influence the choice of correc surgery approaches and prognostic evaluation.So it seems very necessary to routinely perform cardiac catheterization before the surgery in children with TOF.J Appl Clin Pediatr,2009,24(1):46-47
【CateGory Index】: R726.5
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