Ayad Ramy F, Johnston Stephen B, Grayburn Paul A, Schmidt Tyson T, Choi James W
Division of Cardiology, Department of Internal Medicine, Baylor Heart and Vascular Hospital and Baylor University Medical Center, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2010 Jan;23(1):21-3. doi: 10.1080/08998280.2010.11928575.
Congenital pulmonic stenosis (PS) rarely presents in patients over the age of 55 years. A stable asymptomatic course into late adulthood is the usual history of mild to moderate PS. Balloon valvuloplasty has become the procedure of choice for congenital PS, especially in children and young adults. There are rare reports of its use in older adults. Significant valve calcium is believed to limit its success. We present a case of a 77-year-old woman with symptomatic congenital PS and severe valve calcium who underwent successful balloon valvuloplasty.
先天性肺动脉狭窄(PS)在55岁以上患者中很少见。轻度至中度PS的常见病史是病情稳定,无症状地进入成年后期。球囊瓣膜成形术已成为先天性PS的首选治疗方法,尤其是在儿童和年轻成人中。关于在老年人中使用该方法的报道很少。严重的瓣膜钙化被认为会限制其成功率。我们报告一例77岁有症状的先天性PS且伴有严重瓣膜钙化的女性患者,其接受球囊瓣膜成形术获得成功。