Singh Gautam K
Washington University School of Medicine, Department of Pediatrics, Campus Box 8116-NWT, 1 Children's Place, Saint Louis, MO 63110, USA.
St. Louis Children's Hospital, 1 Children's Place, St. Louis, MO 63110, USA.
Children (Basel). 2019 May 13;6(5):69. doi: 10.3390/children6050069.
Aortic valve stenosis in children is a congenital heart defect that causes fixed form of hemodynamically significant left ventricular outflow tract obstruction with progressive course. Neonates and young infants who have aortic valve stenosis, usually develop congestive heart failure. Children and adolescents who have aortic valve stenosis, are mostly asymptomatic, although they may carry a small but significant risk of sudden death. Transcatheter or surgical intervention is indicated for symptomatic patients or those with moderate to severe left ventricular outflow tract obstruction. Many may need reintervention.
儿童主动脉瓣狭窄是一种先天性心脏缺陷,可导致血流动力学上显著的左心室流出道梗阻的固定形式,并呈进行性发展。患有主动脉瓣狭窄的新生儿和小婴儿通常会出现充血性心力衰竭。患有主动脉瓣狭窄的儿童和青少年大多无症状,尽管他们可能有小但显著的猝死风险。有症状的患者或左心室流出道中度至重度梗阻的患者需要进行经导管或手术干预。许多患者可能需要再次干预。