Objectives To introduce ourexperience in treatment of ventricular septal defectswith aortic valve insufficiency. Methods A total of147 cases was involved in a nine-year retrospectivestudy. Age ranged from 5 months to ...Objectives To introduce ourexperience in treatment of ventricular septal defectswith aortic valve insufficiency. Methods A total of147 cases was involved in a nine-year retrospectivestudy. Age ranged from 5 months to 15 years (mean,7.60± 4.12 years). All had been diagnosed by thor-ough history, physical examinations, chestroentgenogram, two -dimensional echocardiogram.Some 103 patients had taken catheterization and an-giocardiography. 91 (61.9%) cases underwent theprocedure of VSD closure, 31 (21.08%) had aorticvalvuloplasty simultaneously, and 25 (17.02%) wereperformed VSD closure plus aortic valve replacement.Results Among the 147 patients, 137 (93.19%) havefully recovered, 6 (4.08%) improved, and 4 patientsdied (2.73%). Conclusions As soon as being diag-nosed as subarterial VSD, surgical interventionshould be recommended at an early date. The cases ofperimembranous VSD also need close follow-up. OnceAI occurs, operations should be taken in time. Thecases without AI ought to accept treatment duringschool age.展开更多
Balloon aortic valvuloplasty is often used as a palliative measure or as a bridge to transcatheter aortic valve replacement in the management of aortic stenosis in high risk or inoperable patients. Severe aortic steno...Balloon aortic valvuloplasty is often used as a palliative measure or as a bridge to transcatheter aortic valve replacement in the management of aortic stenosis in high risk or inoperable patients. Severe aortic stenosis coexisting with coronary artery dis-ease is not uncommon. In these circumstances, adjuvant percutaneous coronary intervention may be warranted. The safety and efficacy of combined valve and coronary intervention strategies has been recently studied. An increased incidence of complications when both procedures are performed in the same setting may throw new challenges. We report a case of fatal acute stent thrombosis following balloon aortic valvuloplasty and percutaneous coronary intervention.展开更多
文摘Objectives To introduce ourexperience in treatment of ventricular septal defectswith aortic valve insufficiency. Methods A total of147 cases was involved in a nine-year retrospectivestudy. Age ranged from 5 months to 15 years (mean,7.60± 4.12 years). All had been diagnosed by thor-ough history, physical examinations, chestroentgenogram, two -dimensional echocardiogram.Some 103 patients had taken catheterization and an-giocardiography. 91 (61.9%) cases underwent theprocedure of VSD closure, 31 (21.08%) had aorticvalvuloplasty simultaneously, and 25 (17.02%) wereperformed VSD closure plus aortic valve replacement.Results Among the 147 patients, 137 (93.19%) havefully recovered, 6 (4.08%) improved, and 4 patientsdied (2.73%). Conclusions As soon as being diag-nosed as subarterial VSD, surgical interventionshould be recommended at an early date. The cases ofperimembranous VSD also need close follow-up. OnceAI occurs, operations should be taken in time. Thecases without AI ought to accept treatment duringschool age.
文摘Balloon aortic valvuloplasty is often used as a palliative measure or as a bridge to transcatheter aortic valve replacement in the management of aortic stenosis in high risk or inoperable patients. Severe aortic stenosis coexisting with coronary artery dis-ease is not uncommon. In these circumstances, adjuvant percutaneous coronary intervention may be warranted. The safety and efficacy of combined valve and coronary intervention strategies has been recently studied. An increased incidence of complications when both procedures are performed in the same setting may throw new challenges. We report a case of fatal acute stent thrombosis following balloon aortic valvuloplasty and percutaneous coronary intervention.
