Does neonatal tetralogy of Fallot need surgery?

summary

Tetralogy of Fallot is the most common type of cyanotic congenital heart disease, incidence rate is about 10% of congenital heart disease, accounting for 50% of cyanotic heart disease. The incidence of tetralogy of Fallot was 1.5%. Most patients with tetralogy of Fallot have the following malformations, including ventricular septal defect, aortic straddle, pulmonary and / or pulmonary stenosis and right ventricular hypertrophy, etc? Next, I'd like to share my views with you.

Does neonatal tetralogy of Fallot need surgery?

Once diagnosed, surgical treatment should be carried out as soon as possible. With the improvement of cardiac surgery technology, the age of patients with tetralogy of Fallot is getting younger and younger, and the operation is usually completed before 2 years old. Only when it is not suitable for radical operation, palliative operation (systemic pulmonary shunt) should be considered, and radical operation should be performed later. The effect of radical operation is good, and the vast majority of children can completely return to normal life.

The mortality rate of tetralogy of Fallot after radical operation has decreased significantly. The mortality rate of infants and children is only 3% ～ 5%, and that of adults is 1.3% ～ 14%. Of course, this is closely related to the experience of the surgeon. Generally speaking, the causes of early postoperative death are low cardiac output syndrome, perfusion lung or pulmonary edema, renal failure, pericardial tamponade, arrhythmia and infection.

The vast majority of patients recovered well, cyanosis and hypoxemia disappeared immediately, pestle fingers (toes) gradually returned to normal, but most patients can still hear varying degrees of heart murmur. Patients can work and study normally, get married and have children without long-term medication.

matters needing attention

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