Kanehiro K, Ishihara H, Hamanaka Y, Sueda T, Hayashi S, Uchida N, Matsuura Y, Kawaue K, Inoue K
Rinsho Kyobu Geka. 1989 Apr;9(2):191-4.
An effective percutaneous transvenous mitral commissurotomy (PTMC) and aortic valvotomy (PTAV) was performed upon a 61-year-old male patient suffered from acute left heart failure due to combined valvular disease (mitral and aortic stenosis) and had complicated with acute renal failure following low cardiac output. Hemodynamic study being examined through Swan-Ganz catheter and echocardiography after PTMC and PTAV showed marked releaf from these two valvular stenosis. We consider that although this new treatment can't exceed surgical commissurotomy in an effect, it can be applied to those who are thought to be riskfull for the surgical intervention because of its inherent characteristics being simple and less invasive.
对一名61岁男性患者实施了有效的经皮经静脉二尖瓣交界切开术（PTMC）和主动脉瓣切开术（PTAV）。该患者因联合瓣膜病（二尖瓣和主动脉瓣狭窄）并发急性左心衰竭，且在低心输出量后并发急性肾衰竭。PTMC和PTAV术后通过 Swan-Ganz 导管和超声心动图进行的血流动力学研究显示，这两种瓣膜狭窄明显缓解。我们认为，尽管这种新治疗方法在效果上无法超过外科交界切开术，但由于其固有的简单性和微创性，它可应用于那些被认为手术干预风险较高的患者。
