摘要
室间隔缺损在儿童中是常见的先天性心脏病之一,若不及时闭合可合并主动脉瓣脱垂,根据右冠瓣脱垂程度可分为轻、中、重三种程度。室间隔缺损合并主动脉瓣脱垂治疗上包括经皮介入封堵、外科手术修补和经胸小切口微创封堵。经皮介入封堵是最常用的治疗方式,重度脱垂不满足介入封堵指征的室间隔缺损患者可选择外科手术修补,经胸小切口微创封堵是近年来的新技术,治疗效果及其并发症仍需进一步验证。现就室间隔缺损合并主动脉瓣脱垂的诊断与治疗进行综述。
Ventricular septal defect is one of the common congenital heart disease in children.It can be combined with aortic valve prolapse if it is not closed in time.According to the degree of right coronary valve prolapse,it can be divided into mild,moderate and severe degrees.The treatment of ventricular septal defect with aortic valve prolapse includes percutaneous interventional closure,surgical repair and minimally invasive closure.Percutaneous interventional occlusion is the most commonly method.Patients with severe prolapse or ventricular septal defect who does not meet the indications of interventional occlusion can choose surgical repair.Minimally invasive occlusion is a new technique in recent years.The therapeutic effect and its complications still need further verification.This article reviews the diagnosis and treatment of ventricular septal defect with aortic valve prolapse.
作者
张文倩
周玲梅
王超杰
张智伟
ZHANG Wenqian;ZHOU Lingmei;WANG Chaojie;ZHANG Zhiwei(Department of Cardiac Pediatrics,Guangdong Cardiovascular Institute,Guangdong Provincial General Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080,Guangdong,China;Graduate School,The Second School of Clinical Medicine,Southern Medical University,Guangzhou 510515,Guangdong,China;Department of Cardiovascular Surgery,Guangdong Cardiovascular Institute,Guangdong Provincial General Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080,Guangdong,China)
出处
《心血管病学进展》
CAS
2021年第8期673-676,共4页
Advances in Cardiovascular Diseases
基金
国家重点研发计划项目(2016YFC1100300)
广东省省属科研机构竞争性支持创新能力建设项目(2015B070701008)。
关键词
室间隔缺损
主动脉瓣脱垂
诊断
治疗
Ventricular septal defect
Aortic valve prolapse
Diagnosis
Treatment
