Abstract
117 patients with Fallots Tetralogy and subarteial ventricular septal defect (main group) and 50 patients with
subaortic and perimembranous ventricular septal defect were operated in Bakoulev SCCVS RAMS between
1985 and 2010.
Mean age of patients in main group at the moment of surgery was 8.9 ± 0.3 years, hemoglobin level was
170.4 ± 0.3 g/l, blood oxygen saturation in capillaries - 83.3 ± 0.6%.
All operations were performed from median access according to standard technique under cardiopulmonary
bypass, hypothermia, aortic cross-clamping and combined cold blood cardioplegia.
5 patients (4.3%) from main group died in short terms after operation. No lethal complications were observed
in main group. Different non-lethal complications were noted in 30 (18%) patients from main group and in 12
patients from control group in a short-term period.
Therefore, immediate results of radical correction for Fallots Tetralogy with subarterial ventricular septal
defect are satisfactory and associated with insignificant complications.
References
Бокерия, Л. А. Хирургическая анатомия сердца / Л. А. Бокерия, И. И. Беришвили. - М.: НЦССХ им. А. Н. Бакулева РАМН, 2006.
Подзолков, В. П. Тетрада Фалло / В. П. Подзолков, И. В. Кокшенев. - М.: НЦССХ им. А. Н. Бакулева РАМН, 2008.
Ando, M. Tetralogy of fallot with subarterial ventricular septal defect / M. Ando, T. Yukihiro, K. Toshio, T. Katsuhiko // Ann. Thorac. Surg. - 2003. - Vol. 76. - P. 1059-1065.
De Leval, M. R. Surgical management of doubly committed subarterial ventricular septal defect / M. R. de Leval, M. Pozzi, V. Starnes et al. // Circulation. - 1988. - Vol. 78. - P. 40-60 (Suppl. l).
Kawashima, Y. Long-term evaluation after correction of tetralogy of Fallot / Y. Kawashima, J. Kobayashi, A. Matsuda // Kyobu Geka. - 1977. - Vol. 43, № 8. - P. 660-665.
Kirklin, J. W. Cardiac Surgery / J. W. Kirklin, B. G. Barratt- Boyes. - New York: Wiley, 2003.
Mavroudis, C. Pediatric cardiac surgery / C. Mavroudis. - New York: Mosby, 2003.
Neirotti, R. Tetralogy of Fallot with subpulmonary ventricular septal defect / R. Neirotti, E. Galindez, G. Kreutzer et. al. // Ann. Thorac. Surg. - 1978. - Vol. 25. - P. 5156.
Okita, Y. Early and late results of repair of tetralogy of Fallot with subarterial ventricular septal defect / Y. Okita, S. Miki, Y. Ueda et al. // J. Thorac. Cardiovasc. Surg. - 1995. - Vol. 110. - P. 180-185.
Soto, В. Tetralogy of Fallot: An angiographic-petho-logic correlative study / В. Soto, A. D. Pacifico, R. Ceballos, L. Bargeron // Circulation. - 1981. - Vol. 64, № 3. - P. 558-566.
Soto, В. Ventricular septal defects: A surgical viewpoint / В. Soto, R. Ceballos, J. W. Kirklin // Am. Coll. Cardiol. - 1989. - Vol. 14. - P. 1291-1297.
Stark, J. Surgery for congenital heart defects / J. Stark, M. de Leval, V. Tsang T. - N. Y.: John Wiley, Sons, Ltd. - 2006.
