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经导管封堵室间隔缺损后主动脉瓣反流:远期并发症。

Aortic regurgitation after closure of ventricular septal defect by transcatheter device: the long-term complication.

机构信息

Department of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

Department of Ultrasonography, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

出版信息

Cardiol Young. 2020 Apr;30(4):577-579. doi: 10.1017/S1047951120000414. Epub 2020 Feb 27.

DOI:10.1017/S1047951120000414
PMID:32102719
Abstract

Ventricular septal defect is the most common type of CHD, and transcatheter ventricular septal defect closure has been shown to be an alternative to surgical closure with acceptable mortality and morbidity as well as encouraging results. Short-term and mid-term follow-ups have indicated the safety and efficacy of transcatheter closure, but long-term follow-up results were rare. In this report, we first found that aortic regurgitation occurred in patients 9-12 years following transcatheter closure and regurgitation were gradually increased. The findings indicate that the long-term outcome of transcatheter closure of ventricular septal defect may not be as satisfied as expected.

摘要

室间隔缺损是最常见的先天性心脏病类型,经导管室间隔缺损封堵术已被证明可替代外科封堵,具有可接受的死亡率和发病率,以及令人鼓舞的结果。短期和中期随访表明经导管封堵的安全性和有效性,但长期随访结果罕见。在本报告中,我们首次发现经导管封堵后 9-12 年患者出现主动脉瓣反流,反流逐渐增加。这些发现表明,经导管封堵室间隔缺损的长期结果可能不如预期的那么满意。

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