Robinson N M, Thomas M R, Jewitt D E, Monaghan M J
Department of Cardiology, King's College Hospital, London, England.
J Am Soc Echocardiogr. 1995 Jan-Feb;8(1):79-86. doi: 10.1016/s0894-7317(05)80361-x.
Percutaneous balloon mitral valvuloplasty is a standard alternative to surgery in a selected group of patients with symptomatic dominant rheumatic mitral stenosis. With careful transthoracic and transesophageal echocardiographic selection of patients, there is a low complication and high success rate. Echocardiography has also been established as extremely useful in the long-term follow-up of patients. We present four cases that highlight our view that transthoracic echocardiography should be performed during the procedure, after each balloon inflation, and before and after the intervention. In our experience transthoracic echocardiography during balloon mitral valvuloplasty is invaluable in assessing commissural separation, increasing mitral valve area, new mitral regurgitation, and occasional unexpected anatomic sequelae of balloon inflation.
对于一组有症状的重度风湿性二尖瓣狭窄患者，经皮球囊二尖瓣成形术是手术的标准替代方法。通过经胸和经食管超声心动图仔细选择患者，并发症发生率低且成功率高。超声心动图在患者的长期随访中也已被证明非常有用。我们展示了4例病例，以突出我们的观点，即在手术过程中、每次球囊扩张后以及干预前后均应进行经胸超声心动图检查。根据我们的经验，在球囊二尖瓣成形术期间进行经胸超声心动图检查对于评估瓣叶分离、增加二尖瓣瓣口面积、新出现的二尖瓣反流以及球囊扩张偶尔出现的意外解剖学后遗症非常重要。
