双跨septal,双气球膜整形用于先天性 mitrales 狭窄
R G Grifka1, M P O'Laughlin, M R Nihill
1Lillie Frank Abercrombie Section of Pediatric Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Circulation
|January 1, 1992
概括
双跨septal,双气球膜整形有效地治疗严重的先天性额头肌狭窄,显示显著的梯度减少和临床改善与不常见的额头肌吐. 这种微创方法提供了一个安全有效的治疗选择.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 严重的先天性心肌狭窄症在儿科和成人心脏护理中构成了重大挑战.
- 评估了8名患有严重 kongenital mitral stenosis的患者,包括孤立病例和其他缺陷的患者.
- 一名患者有先前的外科门切除病史,突出了替代干预措施的必要性.
研究的目的:
- 为了评估双跨septal的有效性和安全性,双气球膜整形在患有严重先天性额头狭窄症的患者.
- 评估手术对血液动力学参数和临床结果的影响.
- 为了确定心肌反的发生率和症状的长期复发.
主要方法:
- 八名患者接受了双重穿越体,双重气球膜整形手术.
- 在手术前后记录了血液动力学测量,包括心房心室压力梯度和左心室末端透气压力.
- 在随访期间评估了临床状态和心声回声检测结果.
主要成果:
- 这种手术耐受性很好,显著降低了左心房心室压力梯度和中心平均梯度 (p < 0.001).
- 所有患者都经历了显著的临床改善,只有一个患者出现了显著的 mitra regurgitation.
- 在6名患者的长期随访 (4-54个月) 中,没有出现症状复发或额头骨吐增加.
结论:
- 双跨septal,双气球膜整形术是一种有效的治疗各种形式的先天性心肌狭窄.
- 这种手术与 mitra 反的发病率较低有关.
- 双跨septal方法最大限度地减少创伤,并促进梯度评估,使其成为一个有价值的治疗选择.
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