Ramondo A, Barchitta A, Budano L, Lupia M, Chioin R
Servizio di Emodinamica Cardiologia Interventistica, Università degli Studi, Padova.
G Ital Cardiol. 1998 Jul;28(7):800-5.
Percutaneous balloon valvuloplasty is used successfully for mitral and aortic rheumatic stenosis. Its application is limited in elderly degenerative aortic stenosis because of its poor long-term results. It is thus indicated only in selected groups of patients at high surgical risk. We describe three cases affected with mitral and aortic stenosis who underwent simultaneous mitral and aortic percutaneous balloon valvuloplasty. Etiology was rheumatic in the first two cases, while it was rheumatic and degenerative in the third case. Immediately after the procedure, mitral and aortic gradients decreased, with a simultaneous increment in aortic and mitral areas and cardiac index. There were no major complications. The follow-up after seven years revealed the persistence of relatively good results in the first two cases affected with rheumatic valvulopathies. In the last case, restenosis recurred a few years after the procedure.
经皮球囊瓣膜成形术已成功应用于二尖瓣和主动脉瓣风湿性狭窄。由于其长期效果不佳，在老年退行性主动脉瓣狭窄中的应用受到限制。因此，仅适用于手术风险高的特定患者群体。我们描述了3例二尖瓣和主动脉瓣狭窄患者，他们同时接受了二尖瓣和主动脉经皮球囊瓣膜成形术。前两例病因是风湿性的，而第三例病因是风湿性和退行性的。术后即刻，二尖瓣和主动脉瓣压差降低，同时主动脉瓣和二尖瓣面积及心脏指数增加。无重大并发症。7年随访显示，前两例风湿性瓣膜病患者的效果相对良好。最后一例患者在术后几年出现再狭窄。
