Two cases of percutaneous balloon pulmonary valvulo-plasty were reported in this paper Case 2 was Fallot’s trilogy The transvalvular gradient decreased ftom 13. 9 to 3. 9 kpa in case 1 and 15. 3 to 4. 5 kpa in case 2...Two cases of percutaneous balloon pulmonary valvulo-plasty were reported in this paper Case 2 was Fallot’s trilogy The transvalvular gradient decreased ftom 13. 9 to 3. 9 kpa in case 1 and 15. 3 to 4. 5 kpa in case 2 after dilation’ The sys-temic arterial oxygen saturation(SAoS)increased from 82%to89% in case 2 after operation. The effects of follow - up were satisfactory.with reaching nearly to normal level of SAOS in case2. The indications and procedutes of the valvuloplasty methods were discussed in detail.展开更多
目的总结经胸肺动脉瓣球囊扩张成形术对低龄婴儿重度肺动脉瓣狭窄的即刻疗效及近中期随访结果,探讨一站式肺动脉瓣球囊扩张术的有效方法。方法 2006年3月至2010年3月,阜外心血管病医院采用经胸肺动脉瓣球囊扩张成形术治疗32例重度肺动...目的总结经胸肺动脉瓣球囊扩张成形术对低龄婴儿重度肺动脉瓣狭窄的即刻疗效及近中期随访结果,探讨一站式肺动脉瓣球囊扩张术的有效方法。方法 2006年3月至2010年3月,阜外心血管病医院采用经胸肺动脉瓣球囊扩张成形术治疗32例重度肺动脉瓣狭窄婴儿患者,男23例,女9例;月龄5 d^11个月(4.59±3.21个月);体重2.3~10.5 kg(6.48±2.05 kg)。均在全身麻醉、气管内插管和超声引导下进行肺动脉瓣球囊扩张。术后随访超声心动图,测量肺动脉瓣跨瓣压差,评估肺动脉瓣反流程度。结果手术成功率为100%,均未出现严重并发症,术后血流动力学稳定,跨瓣压差由术前的82±27 mm Hg下降至23±12 mm Hg(t=15.28,P<0.05);4例患者出院时复查超声心动图提示:跨瓣压差仍高于40 mm Hg。所有患者三尖瓣反流均明显改善,无反流17例,微小量反流13例,中量反流2例;血氧饱和度均大于95%。随访1个月~4年(16±11个月),疗效满意,所有患者均生长发育良好,肺动脉瓣跨瓣压差17±10 mm Hg,仅1例肺动脉瓣跨瓣压差大于40 mm Hg;发生肺动脉瓣反流24例,主要为少量反流23例,仅1例中量反流。结论经胸肺动脉瓣球囊扩张成形术是治疗新生儿及婴幼儿重度肺动脉瓣狭窄一种安全有效的方法。展开更多
文摘Two cases of percutaneous balloon pulmonary valvulo-plasty were reported in this paper Case 2 was Fallot’s trilogy The transvalvular gradient decreased ftom 13. 9 to 3. 9 kpa in case 1 and 15. 3 to 4. 5 kpa in case 2 after dilation’ The sys-temic arterial oxygen saturation(SAoS)increased from 82%to89% in case 2 after operation. The effects of follow - up were satisfactory.with reaching nearly to normal level of SAOS in case2. The indications and procedutes of the valvuloplasty methods were discussed in detail.
文摘目的总结经胸肺动脉瓣球囊扩张成形术对低龄婴儿重度肺动脉瓣狭窄的即刻疗效及近中期随访结果,探讨一站式肺动脉瓣球囊扩张术的有效方法。方法 2006年3月至2010年3月,阜外心血管病医院采用经胸肺动脉瓣球囊扩张成形术治疗32例重度肺动脉瓣狭窄婴儿患者,男23例,女9例;月龄5 d^11个月(4.59±3.21个月);体重2.3~10.5 kg(6.48±2.05 kg)。均在全身麻醉、气管内插管和超声引导下进行肺动脉瓣球囊扩张。术后随访超声心动图,测量肺动脉瓣跨瓣压差,评估肺动脉瓣反流程度。结果手术成功率为100%,均未出现严重并发症,术后血流动力学稳定,跨瓣压差由术前的82±27 mm Hg下降至23±12 mm Hg(t=15.28,P<0.05);4例患者出院时复查超声心动图提示:跨瓣压差仍高于40 mm Hg。所有患者三尖瓣反流均明显改善,无反流17例,微小量反流13例,中量反流2例;血氧饱和度均大于95%。随访1个月~4年(16±11个月),疗效满意,所有患者均生长发育良好,肺动脉瓣跨瓣压差17±10 mm Hg,仅1例肺动脉瓣跨瓣压差大于40 mm Hg;发生肺动脉瓣反流24例,主要为少量反流23例,仅1例中量反流。结论经胸肺动脉瓣球囊扩张成形术是治疗新生儿及婴幼儿重度肺动脉瓣狭窄一种安全有效的方法。
