Lemmer J H, Winniford M D, Ferguson D W
Department of Surgery, University of Iowa College of Medicine, Iowa City 52242.
Ann Thorac Surg. 1989 Aug;48(2):295-7. doi: 10.1016/0003-4975(89)90095-7.
An 80-year-old man underwent percutaneous transluminal balloon valvuloplasty for critical aortic stenosis. The procedure was performed by the antegrade atrial transseptal approach and was complicated by a persistent atrial septal defect. Symptoms recurred 6 months later, restenosis of the aortic valve was confirmed, and the atrial septal defect yielded a substantially greater left-to-right shunt. This complication of percutaneous transluminal balloon valvuloplasty poses important problems in hemodynamic assessment and operative management of patients who undergo subsequent aortic valve replacement.
一名80岁男性因严重主动脉瓣狭窄接受经皮腔内球囊瓣膜成形术。该手术采用经房间隔顺行入路进行，术后并发持续性房间隔缺损。6个月后症状复发，证实主动脉瓣再狭窄，且房间隔缺损导致左向右分流显著增加。经皮腔内球囊瓣膜成形术的这一并发症给后续接受主动脉瓣置换术患者的血流动力学评估和手术管理带来了重要问题。
