瓣下主动脉狭窄：当前文献综述
Subvalvular aortic stenosis: a review of current literature.
作者信息
Devabhaktuni Subodh R, Chakfeh Eyas, Malik Ali O, Pengson Joshua A, Rana Jibran, Ahsan Chowdhury H
机构信息
Division of Cardiology, University of Nevada School of Medicine, Las Vegas.
Department of Internal Medicine, University of Nevada School of Medicine, Las Vegas.
出版信息
Clin Cardiol. 2018 Jan;41(1):131-136. doi: 10.1002/clc.22775. Epub 2018 Jan 29.
Abstract
Subvalvular aortic stenosis (SAS) is one of the common adult congenital heart diseases, with a prevalence of 6.5%. It is usually diagnosed in the first decade of life. Echocardiography is the test of choice to diagnose SAS. Surgical correction is the best treatment modality, and the prognosis is usually excellent. In this review, we describe the pathophysiology, diagnosis, prognosis, and management of SAS with a focus on different pathophysiologic mechanisms, diagnostic approach, and prognosis of the disease by reviewing the current literature.
摘要
瓣下主动脉狭窄（SAS）是常见的成人先天性心脏病之一，患病率为6.5%。它通常在生命的第一个十年被诊断出来。超声心动图是诊断SAS的首选检查方法。手术矫正为最佳治疗方式，预后通常良好。在本综述中，我们通过回顾当前文献，描述了SAS的病理生理学、诊断、预后及管理，重点关注该疾病不同的病理生理机制、诊断方法及预后。
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本文引用的文献
1
How to Image Congenital Left Heart Obstruction in Adults.如何对成人先天性左心梗阻进行成像
Circ Cardiovasc Imaging. 2017 May;10(5). doi: 10.1161/CIRCIMAGING.116.004271.
2
Recommendations on the Echocardiographic Assessment of Aortic Valve Stenosis: A Focused Update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography.主动脉瓣狭窄的超声心动图评估建议：欧洲心血管影像学会和美国超声心动图学会的重点更新
J Am Soc Echocardiogr. 2017 Apr;30(4):372-392. doi: 10.1016/j.echo.2017.02.009.
3
Subvalvular Aortic Stenosis.瓣下主动脉瓣狭窄
Del Med J. 2015 Nov;87(11):346-8.
4
Adult presentation of subaortic stenosis: another great hypertrophic cardiomyopathy mimic.成人主动脉瓣下狭窄的表现：另一种极易与肥厚型心肌病混淆的病症。
Heart Lung Circ. 2015 Jan;24(1):e7-e10. doi: 10.1016/j.hlc.2014.08.003. Epub 2014 Aug 23.
5
Fixed subaortic stenosis: a clinical dilemma for clinicians and patients.固定性主动脉瓣下狭窄：临床医生和患者面临的临床难题。
Congenit Heart Dis. 2013 Sep-Oct;8(5):450-6. doi: 10.1111/chd.12127. Epub 2013 Aug 15.
6
Surgical outcome of discrete subaortic stenosis in adults: a multicenter study.成人非限制性室间隔下狭窄的手术治疗效果：一项多中心研究。
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7
Natural history of discrete subaortic stenosisin adults: a multicentre study.成人非对称性间隔型主动脉瓣下狭窄的自然病史：一项多中心研究。
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9
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J Thorac Cardiovasc Surg. 2009 May;137(5):1168-72. doi: 10.1016/j.jtcvs.2008.11.039. Epub 2009 Feb 5.
10
ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.美国心脏病学会/美国心脏协会2008年成人先天性心脏病管理指南：美国心脏病学会/美国心脏协会实践指南工作组（制定成人先天性心脏病管理指南写作委员会）报告。与美国超声心动图学会、心律学会、国际成人先天性心脏病学会、心血管造影和介入学会以及胸外科医师学会合作制定。
J Am Coll Cardiol. 2008 Dec 2;52(23):e143-e263. doi: 10.1016/j.jacc.2008.10.001.
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