文献类型：期刊文献

英文题名：Surgical Strategies for Preservation of Pulmonary Valve Function in a Radical Operation for Tetralogy of Fallot: A Systematic Review and Meta-Analysis

作者：Yi, Kang[1,2,3];Wang, Dan[4];Xu, Jianguo[1];Zhang, Xin[3,5];Wang, Wenxin[3,5];Gao, Jie[3,6];Wang, Wei[3,6];You, Tao[2,3];Tian, Jinhui[1,3,7]

第一作者：Yi, Kang

通信作者：Tian, JH[1];You, T[2];You, T[3];Tian, JH[3];Tian, JH[4]

机构：[1]Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, Lanzhou, Peoples R China;[2]Gansu Prov Hosp, Dept Cardiovasc Surg, Lanzhou, Peoples R China;[3]Gansu Int Sci & Technol Cooperat, Base Diag & Treatment Congenital Heart Dis, Lanzhou, Peoples R China;[4]Cent South Univ, Xiangya Hosp, Dept Geriatr Med, Changsha, Peoples R China;[5]Gansu Univ Chinese Med, Sch Clin Med 1, Lanzhou, Peoples R China;[6]Lanzhou Univ, Clin Med Coll 1, Lanzhou, Peoples R China;[7]Lanzhou Univ, Key Lab Evidence Based Med & Knowledge Translat Ga, Lanzhou, Peoples R China

第一机构：Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, Lanzhou, Peoples R China

通信机构：[1]corresponding author), Lanzhou Univ, Evidence Based Med Ctr, Sch Basic Med Sci, Lanzhou, Peoples R China;[2]corresponding author), Gansu Prov Hosp, Dept Cardiovasc Surg, Lanzhou, Peoples R China;[3]corresponding author), Gansu Int Sci & Technol Cooperat, Base Diag & Treatment Congenital Heart Dis, Lanzhou, Peoples R China;[4]corresponding author), Lanzhou Univ, Key Lab Evidence Based Med & Knowledge Translat Ga, Lanzhou, Peoples R China.

年份：2022

卷号：9

外文期刊名：FRONTIERS IN CARDIOVASCULAR MEDICINE

收录：;Scopus(收录号：2-s2.0-85135163836);WOS:【SCI-EXPANDED(收录号:WOS:000885778900001)】；

基金：Funding This work was supported by the Natural Science Foundation of Gansu Province (21JR1RA027) and Health Industry Research Project of Gansu Province (GSWSKY2016-04).

语种：英文

外文关键词：congenital heart disease surgery; systematic review; Tetralogy of Fallot (ToF); meta-analysis; pulmonary valve function

摘要：Objective: To evaluate the efficacy and safety of different surgical strategies to preserve pulmonary valve function. Surgical procedures evaluated include intraoperative balloon pulmonary valvuloplasty (IBPV), pulmonary valve reconstruction, and commissurotomy and pulmonary cusp augmentation (PCA) in patients who underwent a radical operation for Tetralogy of Fallot (ToF). Materials and Methods: The five databases searched in the current study included the Cochrane Library, PubMed, China National Knowledge Infrastructure, VIP, and WanFang data. A systematic search for control trials was performed in each database from the start date of each database until December 2021. The Newcastle-Ottawa Scale (NOS) was used to evaluate the quality of included studies. Results: A total of 15 retrospective studies with a total number of 1,396 participants were included in this study. In subgroup 1 (IBPV vs. TAP), patients undergoing IBPV had a less degree of regurgitation at 1-2 years after the surgery. The reintervention rate increased in the IBPV group at 5 years. In subgroup 2 (pulmonary valve reconstruction vs. TAP), the degree of regurgitation decreased in the pulmonary valve reconstruction group at 1 month after the surgery. In subgroup 3 (valve-sparing operation vs. TAP), the comparison demonstrated decreased rates for surgical mortality and reintervention at 5-10 years after the surgery. Conclusion: We proposed that pulmonary valve function in a radical operation for ToF was preserved. IBPV, pulmonary valve reconstruction, and commissurotomy and PCA can be performed during the surgical procedure based on the developmental status and anatomical characteristics of the right ventricular outflow tract (RVOT), pulmonary valve, and pulmonary artery.