成年人中的二次心房隔膜缺陷:所有你需要知道的,重点是结果
1Department of Cardiovascular Disease, Sidra Medicine, Doha, Qatar.
Expert review of cardiovascular therapy
|April 26, 2025
概括
第二次心房隔膜缺陷 (ASD) 在成人中很常见,可能需要关闭. 由于更好的结果和更少的并发症,对于二次ASDs,设备关闭优先于手术.
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.
- 成年人的先天性心脏病
背景情况:
- 前庭隔膜缺陷 (ASD) 是成年人中最常见的先天性心脏病.
- 第二种类型的ASD是最常见的解剖类型,在童年时通常没有症状,但在成年时由于左向右转移增加而有症状.
- 临床上显著的冲刺,表现为回声心脏图右侧扩张,Qp:Qs比>1.5:1,或症状时,需要进行关闭.
研究的目的:
- 在成年人中审查第二心房隔膜缺陷 (ASD).
- 为了比较设备关闭与二次性ASD手术关闭的结果.
- 涵盖ASD解剖学,病理生理学,临床表现,自然史,成像和关闭指示.
主要方法:
- 在成年患者中对二次心房隔膜缺陷 (ASD) 的审查.
- 强调将设备关闭结果与外科手术方法进行比较.
- 讨论ASD解剖学,病理生理学,临床表现,自然史,成像和关闭指示.
主要成果:
- 跨导管装置的关闭是全球第二种ASD的首选方法.
- 设备关闭比手术更具成本效益,涉及更短的住院时间,并且具有与手术相比更少并发症的可比结果.
- 该审查涵盖了基于解剖学标准的跨导管闭合的适用性.
结论:
- 过导管装置的关闭是一种安全有效的替代方法,可以替代二次性ASD的手术修复.
- 设备关闭在成本,住院和并发症率方面具有优势.
- 在成年人中进行第二次ASD治疗时,应考虑在符合解剖学标准时关闭透导管.
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