Suh William M, Kern Morton J
Division of Cardiology, University of California, Irvine Medical Center, Orange, California 92868, USA.
Catheter Cardiovasc Interv. 2008 Jun 1;71(7):944-9. doi: 10.1002/ccd.21480.
Accurate assessment of valvular hemodynamics is essential in the decision-making process when referring a patient for cardiac surgery who has suspected coexistent aortic and mitral valve disease. Often times, one valvular lesion is worse than the other, and the question of "prophylactically" replacing the less severe valve at the time of surgery is controversial. In these situations and because of uncertainty regarding noninvasive assessment, hemodynamic evaluation in the cardiac catheterization laboratory provides critical information in guiding therapy.
对于疑似同时患有主动脉瓣和二尖瓣疾病而需转诊至心脏外科进行手术的患者，准确评估瓣膜血流动力学在决策过程中至关重要。通常，一个瓣膜病变比另一个更严重，而在手术时“预防性”置换病情较轻瓣膜的问题存在争议。在这些情况下，由于无创评估存在不确定性，心脏导管实验室的血流动力学评估为指导治疗提供了关键信息。
