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产前主动脉瓣成形术治疗严重主动脉瓣狭窄、重度二尖瓣反流和巨大左心房胎儿:两例伴中期随访的病例报告。

Prenatal aortic valvuloplasty as a definite treatment in fetuses with critical aortic stenosis, severe mitral regurgitation and giant left atrium: a report of two cases with medium-term follow-up.

机构信息

Children's Heart Center Linz, Department of Pediatric Cardiology, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Krankenhausstrasse 26-30, Linz 4020, Austria.

Institute of Prenatal Medicine, Kepler University Hospital, Medical Faculty of the Johannes Kepler University, Krankenhausstrasse 26-30, Linz 4020, Austria.

出版信息

Cardiol Young. 2023 Apr;33(4):666-668. doi: 10.1017/S1047951122002566. Epub 2022 Aug 5.

Abstract

Fetuses with critical aortic stenosis, severe mitral regurgitation and left atrial enlargement are at risk to develop heart failure and intrauterine death. We present two cases with this physiology who underwent fetal aortic balloon valvuloplasty at 25 + 5 and 28 + 2 weeks as their only intervention without requiring postnatal treatment during short- to medium-term follow-up of 1.4 and 4.9 years.

摘要

患有严重主动脉瓣狭窄、二尖瓣反流和左心房扩大的胎儿有发生心力衰竭和宫内死亡的风险。我们介绍了两例这种生理情况的病例,他们在 25+5 周和 28+2 周时接受了胎儿主动脉球囊瓣膜成形术,作为他们唯一的干预措施,在 1.4 年和 4.9 年的短期至中期随访中无需进行产后治疗。

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