Alsoufi Bahaaldin, d'Udekem Yves
Division of Cardiothoracic Surgery, Department of Surgery, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, USA.
Future Cardiol. 2014 Jan;10(1):105-15. doi: 10.2217/fca.13.88.
Several aortic valve (AV) pathologies might necessitate intervention. Percutaneous or surgical AV repair is generally recommended as the initial management strategy in children with AV disease, offering the advantage of stabilization of the heart dimensions and improvement of patients' symptoms. When AV repair is not possible or fails, AV replacement is necessary and is associated with several challenges in children. This review will focus on treatment strategy, AV repair techniques, AV replacement choices and outcomes of AV disease management in children.
几种主动脉瓣(AV)病变可能需要进行干预。经皮或外科主动脉瓣修复通常被推荐作为患有主动脉瓣疾病儿童的初始治疗策略,具有稳定心脏大小和改善患者症状的优势。当主动脉瓣修复无法进行或失败时,主动脉瓣置换是必要的,且在儿童中会带来一些挑战。本综述将聚焦于儿童主动脉瓣疾病的治疗策略、主动脉瓣修复技术、主动脉瓣置换选择及治疗结果。