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球囊扩张术在先天性心脏阻塞性病变治疗中的应用：作者经验与观察回顾 - 第二部分

Balloon Dilatation in the Management of Congenital Obstructive Lesions of the Heart: Review of Author's Experiences and Observations-Part II.

作者信息

Rao P Syamasundar

机构信息

Children's Heart Institute, University of Texas-Houston McGovern Medical School, Children's Memorial Hermann Hospital, Houston, TX 77030, USA.

出版信息

J Cardiovasc Dev Dis. 2023 Jul 6;10(7):288. doi: 10.3390/jcdd10070288.

DOI:10.3390/jcdd10070288
PMID:37504544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10380511/
Abstract

While investigating the outcomes of balloon dilatation procedures in patients with congenital obstructive lesions of the heart, several parallel observations were made. The purpose of this review is to present these observations/phenomena/innovations related to balloon dilatation of pulmonary stenosis (PS), aortic stenosis (AS), and aortic coarctation (AC). In subjects who had balloon pulmonary valvuloplasty (BPV), development of infundibular obstruction, electrocardiographic (ECG) changes, changes in right ventricular filling, role of balloon/annulus ratios on the results of BPV, and double balloon vs. single balloon BPV will be reviewed. In patients who had balloon aortic valvuloplasty (BAV), causes of aortic insufficiency and trans-umbilical venous approach for BAV are tackled. In children who had balloon angioplasty (BA) of AC, aortic remodeling and biophysical response after BA of AC are discussed.

摘要

在研究患有先天性心脏阻塞性病变患者的球囊扩张手术结果时，进行了几项平行观察。本综述的目的是介绍这些与肺动脉狭窄（PS）、主动脉狭窄（AS）和主动脉缩窄（AC）球囊扩张相关的观察结果/现象/创新。在接受球囊肺动脉瓣成形术（BPV）的受试者中，将对漏斗部梗阻的发展、心电图（ECG）变化、右心室充盈变化、球囊/瓣环比率对BPV结果的作用以及双球囊与单球囊BPV进行综述。在接受球囊主动脉瓣成形术（BAV）的患者中，探讨主动脉瓣关闭不全的原因以及BAV的经脐静脉途径。在接受AC球囊血管成形术（BA）的儿童中，讨论AC球囊血管成形术后的主动脉重塑和生物物理反应。

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