摘要
目的：探讨心室间隔缺损（ＶＳＤ）合并主动脉瓣关闭不全（ＡＩ）的外科矫治方法。 方法：总结１０６例ＶＳＤ合并ＡＩ的外科治疗经验。主要有干下型ＶＳＤ６６例（６２．３％ ），膜周部ＶＳＤ２２ 例（２０．８％ ）。主动脉瓣以单叶右冠状动脉瓣脱垂为主（７８例占７３．６％ ）；本组单纯ＶＳＤ修补１４ 例；主动脉瓣成形７５例，主动脉成形主要采用脱垂瓣叶折叠悬吊法和中心型折叠法；主动脉瓣置换１７例。 结果：手术死亡１ 例。出院检查脉压差均恢复正常。心胸比率以及左心室舒张末径均有明显缩小。ＶＳＤ修补术后无残余分流。 结论：强调早期治疗，防止ＡＩ的进一步发展。
Objective:To discuss the procedure of surgical treatment in ventricular septal defect(VSD)associated with aortic valve insufficiency(AI). Methods:One hundred and six cases of VSD associated with AI underwent surgical treatment.There were 66 cases of subpulmonary VSD(62 3%),perimenbranous VSD in 22 cases (20 8%).AI was mild in 18 cases,moderate in 66 cases and severe in 22 cases.Only VSD was repaired in 14 cases. Aortic valvuloplasty was performed in 75 cases.Aortic valve replacement was done in 17 cases. Results: One case of valve replacement was died.Postoperative echocardiogram and X ray revealed that both cardio thoracic ratio and left ventricular end diastolic diameter decreased markedly.There was no residual of VSD. Conclusion: The surgical treatment of VSD associated with AI should be performed as early as possible to prevent the progress of AI.The valvuloplasty should be considered first.
出处
《中国循环杂志》
CSCD
北大核心
1999年第4期230-232,共3页
Chinese Circulation Journal
关键词
心室间隔缺损
主动脉瓣
关闭不全
外科手术
Ventricular septal defect
Aortic valve insufficiency
Valvuloplasty
Valve replacement
