耳前隔膜缺陷 耳前隔膜缺陷
Tal Geva1, Jose D Martins2, Rachel M Wald3
1Department of Cardiology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Lancet (London, England)
|April 15, 2014
概括
前庭隔膜缺陷是一种常见的先天性心脏问题,在儿童中通常不会引起症状,但在成人中可能会导致严重的并发症. 早期关闭,手术或透导管,确保正常的预期寿命.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 前庭隔膜缺陷 (ASD) 是第三个最常见的先天性心脏形.
- 这些缺陷涉及心房之间的异常开口,导致系统和肺循环之间的血液分流.
研究的目的:
- 为了回顾心房隔膜缺陷的原因,解剖学,病理生理学,治疗和结果.
- 强调及时干预对于改善预期寿命的重要性.
主要方法:
- 对心房隔膜缺陷的现有文献的综述.
- 对手术和透导管闭合方法治疗结果的分析.
主要成果:
- 大多数患有孤立自闭症的儿童无症状,但随着年龄的增长,运动不耐受,心律失常和肺高血压的风险会增加.
- 未经治疗的缺陷,特别是在女性和老年人中,会增加潜在致命的肺血管疾病的风险.
- 在25岁之前进行手术关闭与正常预期寿命有关;对于某些患者来说,透导管关闭是一种不那么侵入性的选择.
结论:
- 早期诊断和治疗心房隔膜缺陷对于预防长期并发症和确保正常预期寿命至关重要.
- 手术和透导管闭合方法都是有效的,透导管闭合提供了最少侵入性的替代方案.
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