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新生儿严重瓣膜性流出道梗阻的管理

Management of critical valvular outflow obstruction in neonates.

作者信息

Burnell R H, Ghadiali P E, Joseph M C, Paneth M

出版信息

Thorax. 1970 Jan;25(1):116-9. doi: 10.1136/thx.25.1.116.

DOI:10.1136/thx.25.1.116
PMID:5418004
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC472133/
Abstract

Severe pulmonary or aortic valve stenosis may be lethal to the neonate if untreated. Two patients suffering from pulmonary stenosis and four with aortic stenosis were relieved surgically with the use of full cardiopulmonary bypass. Both neonates with pulmonary stenosis did well, making them the youngest recorded survivors of such treatment. Two of the four patients with aortic stenosis have done well, the other two having severe endocardial fibro-elastosis. The indications and technique for cardiopulmonary bypass in this age group are briefly described.

摘要

严重的肺动脉或主动脉瓣狭窄若不治疗,可能会导致新生儿死亡。两名患有肺动脉狭窄和四名患有主动脉狭窄的患者在使用全心肺转流术的情况下接受了手术治疗并得到缓解。两名患有肺动脉狭窄的新生儿情况良好,成为了该治疗方法有记录以来最年轻的幸存者。四名患有主动脉狭窄的患者中有两名情况良好,另外两名则患有严重的心内膜弹力纤维增生症。本文简要描述了该年龄组心肺转流术的适应证和技术。

相似文献

1
Management of critical valvular outflow obstruction in neonates.新生儿严重瓣膜性流出道梗阻的管理
Thorax. 1970 Jan;25(1):116-9. doi: 10.1136/thx.25.1.116.
2
Inflow occlusion for semilunar valve stenosis.半月瓣狭窄的流入道阻塞
Ann Thorac Surg. 1982 Jun;33(6):570-5. doi: 10.1016/s0003-4975(10)60815-6.
3
[Critical outflow valve obstruction under the age of one year (author's transl)].一岁以下儿童的严重流出道瓣膜梗阻(作者译)
Thoraxchir Vask Chir. 1975 Oct;23(5):459-63. doi: 10.1055/s-0028-1097007.
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Endocardial fibroelastosis and hypoplasia of the left ventricle in neonates without significant aortic stenosis.新生儿无明显主动脉狭窄时的心内膜弹力纤维增生症及左心室发育不全
Br Heart J. 1984 May;51(5):492-7. doi: 10.1136/hrt.51.5.492.
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[Hypoplastic left heart syndrome. Aortic valvular stenosis, bivalvular aorta, left ventricular hypertrophy, endocardial fibroelastosis of the left ventricle].[左心发育不全综合征。主动脉瓣狭窄、二瓣化主动脉、左心室肥厚、左心室心内膜弹力纤维增生症]
Lav Ist Anat Istol Patol Univ Studi Perugia. 1968;28(3):145-56.
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Mitral insufficiency and aortic valve stenosis in infancy associated with endocardial fibroelastosis, surgical treatment and long-term results.婴儿期二尖瓣关闭不全和主动脉瓣狭窄合并心内膜弹力纤维增生症、手术治疗及长期结果
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Transcatheter management of neonatal aortic stenosis.
Cardiol Young. 2014 Dec;24(6):1117-20. doi: 10.1017/S1047951114002030.
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Selection of patients for surgical correction of ventricular septal defect, congenital aortic valve stenosis, and pulmonary valve stenosis.选择接受室间隔缺损、先天性主动脉瓣狭窄和肺动脉瓣狭窄手术矫正的患者。
Adv Cardiol. 1974;11(00):74-80. doi: 10.1159/000395207.
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Ventricular endocardial fibroelastosis. Basis for its presence or absence in cases of pulmonic and aortic atresia.心室心内膜纤维弹性组织增生症。肺动脉闭锁和主动脉闭锁病例中其存在或不存在的基础。
Arch Pathol. 1969 Jan;87(1):82-6.
10
Ross-Konno operation with resection of endocardial fibroelastosis for critical aortic stenosis with borderline-sized left ventricle in neonates.罗斯-康诺手术联合心内膜弹力纤维增生症切除术治疗新生儿临界性主动脉瓣狭窄合并左心室大小临界的情况。
Ann Thorac Surg. 1997 Jan;63(1):112-6.

引用本文的文献

1
Survival in severe congenital heart disease.严重先天性心脏病的生存率。
Br Med J. 1971 Jun 26;2(5764):723-4. doi: 10.1136/bmj.2.5764.723.
2
Rupture of the tracheobronchial tree.气管支气管树破裂。
Thorax. 1987 Sep;42(9):681-8. doi: 10.1136/thx.42.9.681.

本文引用的文献

1
Congenital aortic stenosis. Operative indications and surgical results.先天性主动脉瓣狭窄。手术指征与手术结果。
Br Heart J. 1962 Jan;24(1):31-8. doi: 10.1136/hrt.24.1.31.
2
OPEN-HEART SURGERY FOR INFANTS AND SMALL CHILDREN. MORTALITY AND MORBIDITY.婴幼儿心脏直视手术。死亡率和发病率。
Arch Surg. 1964 Apr;88:675-80. doi: 10.1001/archsurg.1964.01310220165025.
3
CONGENITAL AORTIC STENOSIS SYNDROME IN INFANCY.婴儿期先天性主动脉瓣狭窄综合征
Circulation. 1963 Dec;28:1084-95. doi: 10.1161/01.cir.28.6.1084.
4
Open-heart surgery in infancy.婴儿心脏直视手术。
J Thorac Cardiovasc Surg. 1962 Oct;44:459-76.
5
Results of surgical treatment for congenital aortic stenosis.先天性主动脉瓣狭窄的外科治疗结果
Circulation. 1962 Jan;25:29-38. doi: 10.1161/01.cir.25.1.29.
6
Right ventricular performance in dogs following pulmonary valvectomy.肺动脉瓣切除术后犬的右心室功能
Surgery. 1969 Jun;65(6):952-7.
7
Pulmonary stenosis in the first year of life.出生后第一年的肺动脉狭窄
Br Heart J. 1968 Mar;30(2):255-7. doi: 10.1136/hrt.30.2.255.
8
Diagnosis and surgical treatment of infants with critical pulmonary outflow obstruction. Study of thirty-four infants with pulmonary stenosis or atresia, and intact ventricular septum.重症肺流出道梗阻婴儿的诊断与外科治疗。对34例室间隔完整的肺动脉狭窄或闭锁婴儿的研究。
Circulation. 1967 Apr;35(4):765-76. doi: 10.1161/01.cir.35.4.765.