摘要
总结我院22例小儿主动脉瓣整形术经验。其中17例伴室缺,在修补室缺同时作主动脉瓣整形;4例为室缺修补术导致主动脉瓣损伤,1例主动脉瓣狭窄经球囊导管扩张后发生关闭不全,术中发现主动脉瓣叶缺损,采用自体心包修补。手术死亡1例,病死率4.5%。成活病例随访1～5年,效果满意。建议小儿主动脉瓣病变的手术方法首选主动脉瓣整形术,以延迟置换人工瓣膜时间。
Congenital aortic disease is seldom seen ha pediatric patients and difficult ha treatment.Experiences of twenty-two aortic valvuloplasty are summarized in this paper.17 patients had VSD,which included subpulmonary VSD in 10 and paramembranous VSD in 7.The aortic valvuloplasty was done at the same time as the VSD was repaired.Four patients with aortic insufficiency(AI)was due to damage of the aortic valve during repair of VSD.One patient with congenital aortic stenosis had AI after balloon catheter dilatation.Defects of aortic leaflet were found in 5 patients.Except in one patient defect was sutured directly,in all others of them defects were repaired by pericardium patch.One patient died after operation recalling the mortality 4.5%.All patients were followed up for 1-5 years,the echocardiogram showed mild to moderate AI in 2 patients and trivial in 9 patients.The aortic valvuloplasty in children,the method of valvuloplasty and the importance of early repair were discussed in this paper.Valvuloplasty should be suggested as the treatment of the first choice superior to aortic valve replacement in children.
出处
《中华小儿外科杂志》
CSCD
1994年第4期214-215,共2页
Chinese Journal of Pediatric Surgery
