Bearl David W, Fleming Gregory A
Division of Pediatric Cardiology, Duke University Hospital, 2301 Erwin Rd, Box 3090, Durham, NC, 27710, USA.
Curr Cardiol Rep. 2017 Aug;19(8):72. doi: 10.1007/s11886-017-0878-2.
The past couple of decades have brought tremendous advances to the field of pediatric and adult congenital cardiology. Recent collaborations between interventional cardiologists and cardiac surgeons have sparked novel innovative hybrid procedures that provide potentially safer, faster, and less invasive alternatives to the management of many diseases. This paper will review the most recent advances in hybrid interventions in the field of pediatric and adult congenital cardiology.
The earliest experiences with hybrid interventions included intraoperative stenting of pulmonary arteries and perventricular device closure of ventricular septal defects. Newer hybrid interventions have focused on a hybrid approach to stage 1 palliation for infants with hypoplastic left heart syndrome and hybrid approaches to transcatheter pulmonary valve replacement in patients of all ages. Hybrid approaches to complex congenital heart disease are important in the management of congenital heart disease offering a less invasive approach, and novel hybrid procedures will likely be a focus of future research in this field.
在过去几十年里,儿科和成人先天性心脏病领域取得了巨大进展。近期介入心脏病学家与心脏外科医生之间的合作引发了新型创新的杂交手术,为许多疾病的治疗提供了潜在更安全、更快且侵入性更小的替代方案。本文将综述儿科和成人先天性心脏病领域杂交干预的最新进展。
杂交干预的最早经验包括术中肺动脉支架置入和经心室间隔缺损的室间隔封堵。新的杂交干预聚焦于对左心发育不全综合征婴儿进行一期姑息治疗的杂交方法,以及各年龄段患者经导管肺动脉瓣置换的杂交方法。复杂先天性心脏病的杂交方法在先天性心脏病管理中很重要,提供了一种侵入性较小的方法,新型杂交手术可能会成为该领域未来研究的重点。