Bourdillon P, Dillon J, Brown S, Feigenbaum H
Department of Medicine, Indiana University School of Medicine, Indianapolis.
Indiana Med. 1990 Oct;83(10):708-12.
Percutaneous balloon valvuloplasty has been used for several years for the treatment of stenosis of all four cardiac valves. It has been particularly effective in pulmonary stenosis in children and in rheumatic mitral stenosis, especially in the younger age groups without severe calcification. After initial enthusiasm, results have not been as good in severe calcific aortic stenosis, although there is a place for aortic valvuloplasty in patients who are truly inoperable for reasons of age or coexisting disease. The procedure also may be applicable to occasional cases of tricuspid stenosis. The techniques used and results obtained with these procedures at Indiana University are described.
经皮球囊瓣膜成形术已应用数年，用于治疗所有四个心脏瓣膜的狭窄。它在儿童肺动脉狭窄和风湿性二尖瓣狭窄中特别有效，尤其是在没有严重钙化的年轻患者中。在最初的热情之后，严重钙化性主动脉狭窄的治疗效果并不理想，尽管对于因年龄或并存疾病而真正无法手术的患者，主动脉瓣膜成形术仍有一席之地。该手术也可能适用于偶尔的三尖瓣狭窄病例。本文描述了印第安纳大学使用的这些手术技术及取得的结果。
