经食管超声心动图在成人先天性心脏病介入心脏病学中的作用

The Role of Trans-Oesophageal Echocardiography in the Interventional Cardiology of Adult Congenital Heart Diseases.

作者信息

Giordano Mario, Scognamiglio Giancarlo, Gaio Gianpiero, Marzullo Raffaella, Palma Michela, Barracano Rosaria, Fusco Flavia, Borrelli Nunzia, Sperlongano Simona, Cimmino Giovanni, Russo Maria Giovanna, Sarubbi Berardo

机构信息

Paediatric Cardiology Division, University of Campania "Luigi Vanvitelli", Monaldi Hospital, AORN Ospedali dei Colli, 80131 Naples, Italy.

Adult Congenital Heart Disease Division, Monaldi Hospital, AORN Ospedali dei Colli, 80131 Naples, Italy.

出版信息

J Clin Med. 2025 Feb 7;14(4):1049. doi: 10.3390/jcm14041049.

DOI:10.3390/jcm14041049

PMID:40004580

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11857008/

Abstract

Advances in interventional cardiology have significantly broadened the range of congenital heart diseases (CHDs) amenable to trans-catheter interventions. Trans-oesophageal echocardiography (TOE) plays a pivotal role as a procedural guide in several percutaneous treatments. Enhanced imaging modalities and technological innovations in echocardiography have refined the precision and applicability of these approaches. This review explores the role, impact, and advancements of TOE in trans-catheter treatments for adult CHDs, including both common procedures (e.g., atrial septal defect closure, ventricular septal defect closure) and less frequent interventions (e.g., Mustard/Senning baffle leak closure, Fontan conduit fenestration, ruptured sinus of Valsalva embolization).

摘要

介入心脏病学的进展显著拓宽了适合经导管介入治疗的先天性心脏病（CHD）的范围。经食管超声心动图（TOE）在几种经皮治疗中作为操作指南发挥着关键作用。超声心动图中增强的成像模式和技术创新提高了这些方法的精确性和适用性。本综述探讨了TOE在成人CHD经导管治疗中的作用、影响和进展，包括常见手术（如房间隔缺损封堵、室间隔缺损封堵）和较少见的干预措施（如Mustard/Senning分流板漏口封堵、Fontan管道开窗、瓦氏窦破裂栓塞）。