Luo Z X
Guangdong Provincial Cardiovascular Institute, Guangzhou.
Zhonghua Xin Xue Guan Bing Za Zhi. 1993 Jun;21(3):155-7, 187.
From March 1965 through August 1991, 703 patients with secondary atrial septal defect were treated surgically in our hospital. Among them, 32 cases (4.6%) were associated with mitral valve disease. The mitral valve lesion was repaired at the same time of closure of the atrial septal defect. The operative mortality was 6.3% and there was no late death. Follow-up study showed that heart function of the patients was improved obviously and most of them have resumed work or study. The clinical features, incidence, etiology, pathology and surgical techniques of secondary atrial septal defect associated with mitral valve disease were discussed.
1965年3月至1991年8月,我院对703例继发孔型房间隔缺损患者进行了外科治疗。其中,32例(4.6%)合并二尖瓣病变。在关闭房间隔缺损的同时修复二尖瓣病变。手术死亡率为6.3%,无晚期死亡病例。随访研究表明,患者的心功能明显改善,大多数患者已恢复工作或学习。本文讨论了继发孔型房间隔缺损合并二尖瓣病变的临床特点、发病率、病因、病理及手术技巧。