Bentham J R, Thomson J D R
Department of Congenital cardiology, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, UK.
Arch Dis Child. 2015 Aug;100(8):787-92. doi: 10.1136/archdischild-2014-306052. Epub 2015 Feb 12.
Congenital interventional cardiology seeks to provide alternative percutaneous solutions to congenital cardiac problems in preference to more traditional surgical approaches. Simpler procedures have been refined and are now achievable in smaller children and infants. More complex procedures are increasingly recognised as superior to surgical alternatives, though most patients with complex disease inevitably undergo combinations of interventional, surgical and joint or hybrid procedures. This review seeks to highlight recent advances in these techniques of most interest to the readership of this journal.
先天性介入心脏病学旨在为先天性心脏问题提供替代的经皮解决方案,而非采用更为传统的外科手术方法。更为简单的手术已得到改进,如今在更小的儿童和婴儿中也可实现。尽管大多数患有复杂疾病的患者不可避免地要接受介入、外科以及联合或杂交手术的综合治疗,但越来越多的人认识到,更为复杂的手术比外科替代方案更具优势。本综述旨在突出这些最能引起本刊读者兴趣的技术的最新进展。