Sievert H, Kober G, Reuhl I, Kaltenbach M, Bussmann W D
Abteilung für Kardiologie, Zentrum der Inneren Medizin, Klinikum der Universität Frankfurt.
Herz. 1988 Feb;13(1):20-3.
Percutaneous balloon pulmonary valvuloplasty was performed in 17 consecutive patients, ranging in age from eleven years to 67 years (mean age: 40 +/- 17 years). The peak to peak pressure gradient was reduced by 16 to 167 mm Hg, the mean pressure gradient decreased from 99 +/- 42 to 46 +/- 22 mm Hg. In six patients there was a pressure gradient above 50 mm Hg after the procedure. Within three months it decreased due to regression of infundibular hypertrophy and ranged from 26 to 46 mm Hg after one year. There were no serious complications. One patient experienced a brief episode of syncope. Another patient developed a pulmonary incompetence which was without hemodynamic significance. Percutaneous balloon pulmonary valvuloplasty offers an alternative method for treating pulmonary stenosis not only in children but also in adults.
对17例年龄在11岁至67岁（平均年龄：40±17岁）的连续患者进行了经皮球囊肺动脉瓣成形术。跨瓣压差从16毫米汞柱降至167毫米汞柱，平均压差从99±42毫米汞柱降至46±22毫米汞柱。6例患者术后跨瓣压差高于50毫米汞柱。在三个月内，由于漏斗部肥厚消退，压差降低，一年后压差范围为26至46毫米汞柱。无严重并发症。1例患者经历了短暂的晕厥发作。另1例患者出现了肺动脉瓣关闭不全，但无血流动力学意义。经皮球囊肺动脉瓣成形术不仅为儿童，也为成人提供了一种治疗肺动脉狭窄的替代方法。
