经皮双球囊瓣膜成形术成功治疗先天性二尖瓣狭窄。

Successful percutaneous double balloon valvuloplasty for congenital mitral stenosis.

作者信息

Jarrar M, Betbout F, Gamra H, Maatouk F, Ayari M, Farhat M B

机构信息

Catheterization and Cardiovascular Diagnosis Unit, Fattouma Bourguiba University Hospital, Monastir, Tunisia.

出版信息

Int J Cardiol. 1996 Oct 11;56(2):193-6. doi: 10.1016/0167-5273(96)02721-0.

DOI:10.1016/0167-5273(96)02721-0

PMID:8894792

Abstract

A 19-month-old infant had an isolated severe 'typical' congenital mitral stenosis with dysplastic valves and two symmetric papillary muscles. He underwent successful double balloon mitral valvuloplasty via the right femoral vein. Left atrium pressure decreased from 30 to 20 mmHg and end diastolic mitral gradient from 12 to 0 mmHg. Cardiac index increased from 4.4 to 6.3 l/min per m2. Gorlin's mitral valve area increased from 1 to 1.7 cm2/m2 and Doppler mitral valve area from 0.9 to 2.2 cm2/m2. At 16 months follow-up, the infant showed sustained clinical improvement.

摘要

一名19个月大的婴儿患有单纯严重的“典型”先天性二尖瓣狭窄，瓣膜发育异常，有两个对称的乳头肌。他通过右股静脉成功接受了双球囊二尖瓣成形术。左心房压力从30 mmHg降至20 mmHg，二尖瓣舒张末期压差从12 mmHg降至0 mmHg。心脏指数从4.4升/分钟每平方米增加到6.3升/分钟每平方米。戈林二尖瓣面积从1平方厘米/平方米增加到1.7平方厘米/平方米，多普勒二尖瓣面积从0.9平方厘米/平方米增加到2.2平方厘米/平方米。在16个月的随访中，该婴儿临床持续改善。