Vahanian Alec, Garbarz Eric, Iung Bernard
Cardiologie, Hôpital Bichat-Claude Bernard, Paris.
Bull Acad Natl Med. 2011 Feb;195(2):315-25; discussion 325-6.
In developing countries rheumatic valve disease is the most frequently acquired cardiac disorder observed during childhood. Any valve may be affected but the mitral valve is the predominant site. Echocardiography has a key role in the diagnosis and treatment of these disorders. Severe rheumatic valve disease carries a high risk of morbidity and mortality. Available surgical treatments include prosthetic valve replacement and conservative surgery, which is preferable when feasible. Percutaneous mitral commissurotomy is currently the treatment of choice for mitral stenosis. Preventive strategies are needed to eliminate rheumatic fever and the valve disorders it can cause.
在发展中国家，风湿性瓣膜病是儿童期最常见的后天性心脏疾病。任何瓣膜都可能受累，但二尖瓣是最主要的病变部位。超声心动图在这些疾病的诊断和治疗中起着关键作用。严重的风湿性瓣膜病具有较高的发病和死亡风险。现有的外科治疗方法包括人工瓣膜置换和保守手术，可行时首选保守手术。经皮二尖瓣交界切开术是目前二尖瓣狭窄的首选治疗方法。需要采取预防策略来消除风湿热及其可能导致的瓣膜疾病。
