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法洛四联症手术后的超声心动图评估。

Echocardiographic assessment after surgical repair of tetralogy of fallot.

机构信息

Department of Pediatric Cardiology and Adult with Congenital Heart Disease, IRCCS San Donato Hospital , Milan , Italy.

出版信息

Front Pediatr. 2015 Feb 2;3:3. doi: 10.3389/fped.2015.00003. eCollection 2015.

DOI:10.3389/fped.2015.00003
PMID:25699243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4313781/
Abstract

Surgical correction of tetralogy of Fallot is still one of the most frequently performed intervention in pediatric cardiac surgery, and in many cases, it is far from being a complete and definitive correction. It is rather an excellent palliation that solves the problem of cyanosis, but predisposes the patients to medical and surgical complications during follow-up. The decision-making process regarding the treatment of late sequel is among the most discussed topics in adult congenital cardiology. In post-operative Fallot patients, echocardiography is used as the first method of diagnostic imaging and currently allows both a qualitative observation of the anatomical alterations and a detailed quantification of right ventricular volumes and function, of the right ventricular outflow tract, and of the pulmonary valve and pulmonary arteries. The literature introduced many quantitative echocardiographic criteria useful for the understanding of the pathophysiological mechanisms involving the right ventricle and those have made much more objective any decision-making processes.

摘要

法洛四联症的手术矫正仍然是小儿心脏外科学中最常进行的干预之一，在许多情况下，它远非完全和彻底的矫正。它更像是一种出色的姑息治疗，可以解决发绀问题，但会使患者在随访期间易发生医疗和手术并发症。关于晚期后遗症治疗的决策过程是成人先天性心脏病学中讨论最多的话题之一。在法洛四联症术后患者中，超声心动图被用作诊断成像的首选方法，目前可以对解剖结构改变进行定性观察，并对右心室容积和功能、右心室流出道以及肺动脉瓣和肺动脉进行详细的定量评估。文献中引入了许多用于理解涉及右心室的病理生理机制的定量超声心动图标准，这些标准使任何决策过程都更加客观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/930237d7a11d/fped-03-00003-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/26a7def71072/fped-03-00003-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/c3fb86fa720c/fped-03-00003-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/eb834fab9346/fped-03-00003-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/fc024b4654d1/fped-03-00003-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/1ac8ec2eb72c/fped-03-00003-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/545e1b059c6b/fped-03-00003-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/537b6b552bfc/fped-03-00003-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/930237d7a11d/fped-03-00003-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/26a7def71072/fped-03-00003-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/c3fb86fa720c/fped-03-00003-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/eb834fab9346/fped-03-00003-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/fc024b4654d1/fped-03-00003-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/1ac8ec2eb72c/fped-03-00003-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/545e1b059c6b/fped-03-00003-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/537b6b552bfc/fped-03-00003-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d7/4313781/930237d7a11d/fped-03-00003-g008.jpg

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