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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）。

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Three-dimensional transesophageal echocardiography measurements of ASD sizing parameters in comparison to balloon sizing method in percutaneous ASD closure.经皮房间隔缺损封堵术中心脏三维经食管超声心动图测量 ASD 大小参数与球囊测量方法的比较。
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Intracardiac total anomalous pulmonary venous return or septum primum malposition? Complete repair in left atrial isomerism.
心内完全性肺静脉异位回流或原发孔房间隔缺损？完全修复左房异构。
Multimed Man Cardiothorac Surg. 2023 Aug 14;2023. doi: 10.1510/mmcts.2023.035.
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Limitations of Percutaneous Closure of a Complex Secundum Atrial Septal Defect.经皮封堵复杂型继发孔房间隔缺损的局限性
CASE (Phila). 2022 Apr 30;6(5):233-236. doi: 10.1016/j.case.2022.03.008. eCollection 2022 Jul.
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Assessment of atrial septal defect using 2D or real-time 3D transesophageal echocardiography and outcomes following transcatheter closure.使用二维或实时三维经食管超声心动图评估房间隔缺损及经导管封堵后的结果。
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Severe baffle leak after Takeuchi repair successfully treated with coronary bypass and percutaneous baffle closure: a case report.经冠状动脉搭桥术和经皮封堵术成功治疗竹内修复术后严重分流：一例报告
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