摘要
目的:对成人先天性心脏病膜部室间隔缺损病例经导管Amplatzer法封堵治疗,随访3～6月,评价其疗效及安全性.方法:术前所有病例经胸超声心动图初筛选,左室造影最终筛选确定具有适应症的10例成人膜部室缺病例,其中5例伴室间隔膜部瘤,男性8例,女性2例,年龄18～49岁(37±12),身高153～170 cm(132±40),术中所有病例均使用经胸超声心动图(TTE)监测,封堵器均选用Amplatzer封堵伞.封堵术后1、2、3、6月随访TTE,X线观察疗效和安全性.结果:10例封堵手术成功,即刻手术成功率100%,无残余分流,主动脉瓣及房屋瓣未累及,未发生感染性心内膜炎、房屋传导阻滞等并发症,封堵伞位置良好.结论:对具有适应症的成人膜部室缺(伴或不伴有膜部瘤),选择Amplatzer封堵介入治疗认为是有效、安全的.
Objective: To evaluate the effects and safety of transcather Amplatzer closure on perimembranous V S defects with 3～6 month following-up. Methods: Patients chosen from 18～49(37±12)year olds and from 153～170cm(132±40)in height, 8 males and 2 females, were monitored by transthoracic echocardiography (TTE) during operation, and were examined by TTE,ECG and x-rays after 1, 8, 6 months respectively.Results: The success rate of operation was 100%, and there were no residual shunts after operation, no new-onset aortic or tricuspid regurgitation or intravascular molysis involved.Conclusion: Transcatheter closure is safe and effective in selected cases of VSD.
出处
《昆明医学院学报》
2005年第2期15-18,共4页
Journal of Kunming Medical College
基金
国家自然基金资助(No.30260112)
