Folger G M
Angiology. 1984 Jun;35(6):341-57. doi: 10.1177/000331978403500603.
The child with significant valvular heart disease may present in any single instance both the most difficult of management decisions or a surprisingly simple one. Thus, if a direct surgical approach on the valve is feasible, the problems may very well be quite simple and straightforward; conversely, if valve replacement is indicated such may not be the case. We have recently reported our experience with one type of valvular heart condition, congenital aortic stenosis, in respect to determination of surgical approach based upon the ability to predict the orifice area and valvular anatomy. This report reviews our current experience with this technique. As well, the experience concerning the approach to each of the valvular conditions will also be reviewed with emphasis in respect to the left heart valves and particularly their long term postoperative management.
患有严重瓣膜性心脏病的患儿在任何一个病例中都可能面临最难的治疗决策，也可能是令人惊讶的简单决策。因此，如果对瓣膜进行直接手术是可行的，问题很可能相当简单直接；相反，如果需要进行瓣膜置换，情况可能并非如此。我们最近报告了我们在一种瓣膜性心脏病——先天性主动脉瓣狭窄方面的经验，即基于预测瓣口面积和瓣膜解剖结构的能力来确定手术方法。本报告回顾了我们目前在这项技术方面的经验。此外，还将回顾针对每种瓣膜疾病的治疗方法的经验，重点是左心瓣膜，尤其是它们的术后长期管理。
