Mechmèche R, Hadrich M, Boussaada R, Marsit N, Cherif A, Farhati A, Ben Fredj S, Ezzar T
Service des Explorations Fonctionnelles Cardiaques, Hôpital La Rabta, Tunis.
Tunis Med. 2000 Jan;78(1):30-6.
47 patients aged from 2 to 59 years affected by valvular congenital or mixed pulmonary stenosis including three fallot trilogies and one patient with right congestive cardiac failure are treated by percutaneous pulmonary valvulotomy between october 1986 and december 1990. All patients have been controlled with a mean follow-up of 6.5 +/- 1.1 years. The total gradient rate between pulmonary artery and right ventricule decrease from 112 +/- 55 mm Hg to 20 +/- 8 mm Hg on the last control with disappearance of infundibular inflammation and inter auricular shunt in all the concerned cases. We observe the regression of right cardiac failure symptoms with disappearance of tricuspid insufficiency in the cases of advanced pulmonary stenosis with right ventricular dysfunction. Percutaneous pulmonary valvulotomy by its simplicity and harmlessness, its long term efficiency is a good method of treatment of pure valvular or mixed pulmonary stenosis.
1986年10月至1990年12月期间，对47例年龄在2至59岁之间、患有瓣膜性先天性或混合性肺动脉狭窄（包括3例法洛三联症和1例右心充血性心力衰竭患者）的患者进行了经皮肺动脉瓣切开术治疗。所有患者均得到随访，平均随访时间为6.5±1.1年。在最后一次检查时，肺动脉与右心室之间的总压差从112±55毫米汞柱降至20±8毫米汞柱，所有相关病例中漏斗部炎症和心房间分流消失。在重度肺动脉狭窄合并右心室功能不全的病例中，我们观察到右心衰竭症状消退，三尖瓣关闭不全消失。经皮肺动脉瓣切开术操作简单、无害，长期疗效良好，是治疗单纯瓣膜性或混合性肺动脉狭窄的一种好方法。
