National Hospital Organization, Ehime National Hospital, Division of Cardiovascular Disease, Ehime, Japan.
J Cardiol. 2010 Jan;55(1):130-4. doi: 10.1016/j.jjcc.2009.04.004. Epub 2009 May 21.
The patient was a 37-year-old female who had undergone a repair for tetralogy of Fallot (TOF) at the age of 4 years. Postoperative pulmonary stenosis remained, but she continued to be managed medically. Approximately 3 years ago, at the age of 34, she exhibited a worsening of fatigue and dyspnea during exertion (New York Heart Association III), and was therefore hospitalized for a detailed examination. In cardiac catheterization, a right ventricle to pulmonary artery peak-to-peak gradient of about 90 mmHg was observed. Since it appeared that medical treatment alone would not sufficiently control her heart failure, pulmonary valvuloplasty using a triple-balloon technique was performed for the pulmonary stenosis. The peak-to-peak gradient immediately after the procedure decreased to 13 mmHg. There were no indications of restenosis approximately 6 months after the procedure, and the symptoms of heart failure in her daily life improved thereafter.
患者为 37 岁女性，4 岁时接受法洛四联症（TOF）修复术。术后仍存在肺动脉瓣狭窄，但继续接受药物治疗。大约 3 年前，34 岁时，她在活动时出现疲劳和呼吸困难加重（纽约心脏协会 III 级），因此住院进行详细检查。在心脏导管检查中，观察到右心室到肺动脉的峰间梯度约为 90mmHg。由于似乎单独使用药物治疗无法充分控制心力衰竭，因此对肺动脉瓣狭窄采用三球囊技术进行了肺动脉瓣成形术。术后即刻的峰间梯度降至 13mmHg。术后约 6 个月时无再狭窄迹象，此后日常生活中心力衰竭症状改善。
