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鲁登巴赫综合征患者的经皮联合手术:病例报告与真实世界经验回顾

Combined Percutaneous Procedure in Patient with Lutembacher Syndrome: A Case Report and Real-World Experience Review.

作者信息

Phan Quang Tan, Nguyen Hieu Lan, Le Tai Duc, Lee WangSoo, Won HoYoun, Shin SeungYong, Sharmin Saima, Nguyen Truong Quang, Kim SangWook

机构信息

Intervention Center, Quang Nam Central General Hospital, Quang Nam 562314, Vietnam.

Intervention Center, Chung-Ang University Hospital, Seoul 06973, Korea.

出版信息

Cardiol Res. 2018 Dec;9(6):385-391. doi: 10.14740/cr776w. Epub 2018 Dec 7.

DOI:10.14740/cr776w
PMID:30627291
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6306122/
Abstract

Even cardiac surgery has been accepted as the standard therapy for Lutembacher syndrome, a combination of congenital ostium secundum atrial septal defect (ASD) and acquired mitral valve stenosis (MVS), it also owns many limitations and disadvantages. Therefore, seeking for a less invasive therapy with the same efficacy may be worthwhile. Thanks to the development in technology and experience gaining in cardiovascular intervention, the combination of the two proved effective procedures, including percutaneous MVS treatment using balloon valvuloplasty and percutaneous ASD closure using atrial septal occluders, can be utilized as an attractive alternative therapy for these conditions. Here, we present a successful percutaneous intervention in Lutembacher syndrome using the combination of mitral balloon valvuloplasty and ASD device closure and thoroughly review the experience of using this combined procedure existing in the literature.

摘要

即使心脏手术已被公认为鲁登巴赫综合征(一种先天性继发孔型房间隔缺损(ASD)与后天性二尖瓣狭窄(MVS)的组合)的标准治疗方法,但它也存在许多局限性和缺点。因此,寻求一种疗效相同但侵入性较小的治疗方法可能是值得的。得益于技术的发展和心血管介入经验的积累,事实证明,将两种有效的手术相结合,即使用球囊瓣膜成形术进行经皮MVS治疗和使用房间隔封堵器进行经皮ASD封堵,可以作为这些病症颇具吸引力的替代治疗方法。在此,我们展示了一例使用二尖瓣球囊瓣膜成形术和ASD装置封堵相结合的方法成功治疗鲁登巴赫综合征的经皮介入手术,并全面回顾了文献中使用这种联合手术的经验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a49/6306122/2df83ca681fe/cr-09-385-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a49/6306122/2771686e3434/cr-09-385-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a49/6306122/eb6e510dd4ea/cr-09-385-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a49/6306122/2df83ca681fe/cr-09-385-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a49/6306122/2771686e3434/cr-09-385-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a49/6306122/eb6e510dd4ea/cr-09-385-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a49/6306122/2df83ca681fe/cr-09-385-g003.jpg

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本文引用的文献

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2
Long term outcomes among adults post transcatheter atrial septal defect closure: Systematic review and meta-analysis.经导管房间隔缺损封堵术后成年人的长期结局:系统评价和荟萃分析。
Int J Cardiol. 2018 Nov 1;270:126-132. doi: 10.1016/j.ijcard.2018.06.076. Epub 2018 Jul 12.
3
Endovascular Therapy for Rheumatic Mitral and Aortic Valve Disease: Review Article.风湿性二尖瓣和主动脉瓣疾病的血管内治疗:综述文章
一名患有极大房间隔缺损的加纳中年女性的鲁腾巴赫综合征。
Clin Case Rep. 2023 Feb 10;11(2):e6939. doi: 10.1002/ccr3.6939. eCollection 2023 Feb.
4
Non-surgical treatment of Lutembacher syndrome: combined percutaneous transcatheter therapy.卢特巴赫综合征的非手术治疗:联合经皮导管介入治疗。
BMJ Case Rep. 2022 May 18;15(5):e247984. doi: 10.1136/bcr-2021-247984.
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An Incidental Diagnosis of Rheumatic Mitral Stenosis and Secundum Atrial Septal Defect (Lutembacher's Syndrome) in a Young Woman.一名年轻女性风湿性二尖瓣狭窄合并继发孔型房间隔缺损(鲁登巴赫综合征)的偶然诊断
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Is Transoesophageal Echocardiography Necessary for the Percutaneous Management of Lutembacher Syndrome: A Case Report.经食管超声心动图对鲁登巴赫综合征经皮治疗是否必要:一例报告
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