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对于严重胎儿主动脉瓣狭窄，何时进行球囊瓣膜成形术最佳：产前还是出生后？

Which is the best time to perform balloon valvuloplasty in critically fetal aortic stenosis: Prenatally or after birth?

作者信息

Rizzo Giuseppe, Pietrolucci Maria Elena, Mappa Ilenia

机构信息

Università di Roma Tor Vergata Department of Obstetrics and Gynecology Fondazione Policlinico Tor Vergata Roma, Italy.

出版信息

J Clin Ultrasound. 2022 Nov;50(9):1286-1287. doi: 10.1002/jcu.23338.

DOI:10.1002/jcu.23338
PMID:36353906
Abstract

Fetal aortic valvuloplasty may prevent the progression of severe fetal aortic stenosis to hypoplastic left heart syndrome at birth. Since it is an high risk procedure a careful selection of fetuses that can benefit from the prenatal treatment instead of waiting for postnatal intervention.

摘要

胎儿主动脉瓣成形术可能会预防严重胎儿主动脉狭窄在出生时进展为左心发育不全综合征。由于这是一项高风险手术，因此需要仔细挑选能够从产前治疗中获益的胎儿，而不是等待产后干预。

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