针对年龄小于1岁的新生儿和婴儿的重症主动脉瓣狭窄进行主动脉瓣切开术。
Aortic valvotomy for critical aortic stenosis in neonates and infants aged less than one year.
作者信息
Balaji S, Keeton B R, Sutherland G R, Shore D F, Monro J L
机构信息
Wessex Cardiothoracic Centre, Southampton General Hospital, Shirley.
出版信息
Br Heart J. 1989 Apr;61(4):358-60. doi: 10.1136/hrt.61.4.358.
Abstract
Between April 1974 and December 1987, 20 infants (six under one month of age) (mean weight 4.9 kg) underwent surgical valvotomy for critical aortic stenosis. Three of the four patients treated before 1976 died. Since 1979, 16 infants (four neonates) have undergone valvotomy with no deaths. Mortality for the whole group was 15%; in the neonates it was 33%. There were no late deaths. The survivors were followed up for a mean of 3 years 9 months and two required re-operations. The considerable improvement in surgical results in the past decade should be taken into account when newer techniques such as balloon dilatation are evaluated.
摘要
1974年4月至1987年12月期间，20例婴儿（6例不满1个月龄）（平均体重4.9千克）因严重主动脉瓣狭窄接受了外科瓣膜切开术。1976年之前接受治疗的4例患者中有3例死亡。自1979年以来，16例婴儿（4例新生儿）接受了瓣膜切开术，无死亡病例。整个组的死亡率为15%；新生儿的死亡率为33%。无晚期死亡病例。存活者平均随访3年9个月，2例需要再次手术。在评估诸如球囊扩张等新技术时，应考虑过去十年外科手术结果的显著改善。
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