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胎儿心脏介入对先天性心脏病手术的影响。

Impact of fetal cardiac intervention on congenital heart surgery.

作者信息

Bacha Emile A

机构信息

Congenital and Pediatric Cardiac Surgery, Morgan Stanley Children's Hospital of New York-Presbyterian, Columbia University College of Physicians and Surgeons, New York, NY, USA.

出版信息

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2011;14(1):35-7. doi: 10.1053/j.pcsu.2011.01.003.

DOI:10.1053/j.pcsu.2011.01.003
PMID:21444047
Abstract

Fetal cardiac interventions performed by interventional cardiologists are currently in a clinical experimental phase. The 3 most frequent interventions are: 1) aortic balloon valvuloplasty for critical aortic stenosis with a small left ventricle or with a normal size left ventricle but poor function; 2) atrial septostomy for highly restrictive or intact atrial septum in hypoplastic left heart syndrome; and 3) pulmonary valvuloplasty for pulmonary atresia and hypoplastic right ventricle. Current impact on everyday congenital heart surgery practice is small, but may increase in the future.

摘要

由介入心脏病专家进行的胎儿心脏干预目前正处于临床实验阶段。最常见的三种干预措施是:1)对左心室小或左心室大小正常但功能差的严重主动脉瓣狭窄进行主动脉球囊瓣膜成形术;2)对左心发育不全综合征中高度限制性或完整的房间隔进行房间隔造口术;3)对肺动脉闭锁和右心室发育不全进行肺动脉瓣膜成形术。目前对日常先天性心脏手术实践的影响较小,但未来可能会增加。

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引用本文的文献

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Fetal cardiac interventions: clinical and experimental research.胎儿心脏干预:临床与实验研究。
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Therapeutic Utilities of Pediatric Cardiac Catheterization.小儿心导管检查的治疗用途
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Outcome of extremely preterm infants (<1,000 g) with congenital heart defects from the National Institute of Child Health and Human Development Neonatal Research Network.美国国立儿童健康与人类发展研究所新生儿研究网络中极低出生体重(<1000克)先天性心脏病患儿的预后情况。
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