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婴儿期闭合性主动脉瓣切开术及相关畸形的同期矫正

Closed aortic valvotomy and simultaneous correction of associated anomalies in infants.

作者信息

Trinkle J K, Norton J B, Richardson J D, Grover F L, Noonan J A

出版信息

J Thorac Cardiovasc Surg. 1975 May;69(5):758-62.

PMID:1127974
Abstract

A small infant with severe congenital aortic stenosis presents a difficult therapeutic problem. Both operative and nonoperative treatment are hazardous--especially when other cardiovascular anomalies are present. This report describes a simple, effective technique for dilating the stenotic aortic valve and simultaneously repairing certain associated defects. The procedure has been used successfully in 3 infants with a postoperative follow-up of 6 months to 4 years. There were no deaths, and the functional results have been excellent. This technique is presented as an alternative to the more hazardous approach to open valvotomy and/or stage correction of associated anomalies.

摘要

一名患有严重先天性主动脉瓣狭窄的小婴儿面临着棘手的治疗难题。手术治疗和非手术治疗都存在风险——尤其是当存在其他心血管异常时。本报告描述了一种简单、有效的技术,用于扩张狭窄的主动脉瓣并同时修复某些相关缺陷。该手术已成功应用于3名婴儿,术后随访时间为6个月至4年。无死亡病例,功能结果极佳。本文介绍的这项技术可作为一种替代方案,以取代风险更高的开放瓣膜切开术和/或相关异常的分期矫正方法。

相似文献

1
Closed aortic valvotomy and simultaneous correction of associated anomalies in infants.婴儿期闭合性主动脉瓣切开术及相关畸形的同期矫正
J Thorac Cardiovasc Surg. 1975 May;69(5):758-62.
2
Congenital left ventricular outflow tract obstruction.先天性左心室流出道梗阻
J Heart Valve Dis. 1993 Jan;2(1):80-93.
3
Twenty years experience of surgical aortic valvotomy for critical aortic stenosis in early infancy.婴儿早期重症主动脉瓣狭窄外科主动脉瓣切开术20年经验
Eur J Cardiothorac Surg. 2006 Jul;30(1):35-40. doi: 10.1016/j.ejcts.2006.03.050. Epub 2006 May 24.
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Transventricular aortic valvotomy for critical aortic stenosis in infants.婴儿重症主动脉瓣狭窄的经心室主动脉瓣切开术
J Thorac Cardiovasc Surg. 1987 Apr;93(4):546-50.
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Successful aortic valvotomy for severe congenital valvular aortic stenosis in the newborn infant.新生儿重症先天性瓣膜性主动脉瓣狭窄的成功主动脉瓣切开术。
J Thorac Cardiovasc Surg. 1984 Jul;88(1):92-6.
6
[Surgical management of congenital aortic valve stenosis in neonates and infants].
Kyobu Geka. 1991 May;44(5):399-403.
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Prognostic factors in valvotomy for critical aortic stenosis in infancy.
J Thorac Cardiovasc Surg. 1986 Oct;92(4):747-54.
8
The influence of valve physiology on outcome following aortic valvotomy for congenital bicuspid valve in children: 30-year results from a single institution.儿童先天性二叶式主动脉瓣行主动脉瓣切开术后瓣膜生理对预后的影响:来自单一机构的30年结果
Eur J Cardiothorac Surg. 2005 Jan;27(1):81-5. doi: 10.1016/j.ejcts.2004.10.044.
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Closed aortic valvotomy in infants: late results.婴儿主动脉瓣闭式切开术:远期结果
J Thorac Cardiovasc Surg. 1978 Aug;76(2):198-201.
10
Surgery for critical aortic stenosis in newborns is still good therapy after 25 years.25年后,新生儿重症主动脉瓣狭窄的手术仍是有效的治疗方法。
Can J Surg. 1992 Oct;35(5):489-92.

引用本文的文献

1
New trends in the management of congenital heart disease.
World J Surg. 1993 May-Jun;17(3):356-62. doi: 10.1007/BF01658704.
2
Obstructions to left ventricular outflow.
World J Surg. 1985 Aug;9(4):522-31. doi: 10.1007/BF01656054.
3
Aortic valvotomy for critical aortic stenosis in neonates and infants aged less than one year.针对年龄小于1岁的新生儿和婴儿的重症主动脉瓣狭窄进行主动脉瓣切开术。
Br Heart J. 1989 Apr;61(4):358-60. doi: 10.1136/hrt.61.4.358.
4
Open valvotomy for critical aortic stenosis in infancy.
婴儿期重症主动脉瓣狭窄的开放瓣膜切开术。
Br Heart J. 1990 Jan;63(1):37-40. doi: 10.1136/hrt.63.1.37.