经皮球囊肺动脉瓣成形术治疗肺动脉瓣狭窄合并瓣上狭窄及低氧血症1例Percutaneous balloon pulmonary valvuloplasty for treatment of valvular pulmonary stenosis complicated with supravalvular pulmonary stenosis and hypoxemia :a case report
李俊锋,张莎,白元,许旭东,赵仙先,秦永文
摘要(Abstract):
经皮球囊肺动脉瓣成形术是治疗肺动脉瓣狭窄的有效手段,但对于肺动脉瓣狭窄合并瓣上狭窄的患者,其疗效尚不明确。本文报道1例肺动脉瓣狭窄合并瓣上狭窄的患者,接受经皮球囊肺动脉瓣成形术治疗后,跨瓣压差下降明显。随访2个月,超声心动图提示肺动脉瓣上内径较前无回缩,瓣上流速较前降低,右心室肥厚稍消退,短期临床效果满意。
关键词(KeyWords): 肺动脉狭窄;经皮球囊肺动脉瓣成形术;卵圆孔未闭
基金项目(Foundation):
作者(Author): 李俊锋,张莎,白元,许旭东,赵仙先,秦永文
参考文献(References):
- [1] Kumar V, Mahajan S, Jaswal V, et al. Surgical outcome of isolated congenital supravalvular pulmonary stenosis:a case series. Eur Heart J Case Rep, 2019, 3(2):ytz012.
- [2] El-Saeidi SA, Hamza HS, Agha HM, et al. Experience with balloon pulmonary valvuloplasty and predictors of outcome:a ten-year study. Cardiol Young, 2020, 30(4):482-488.
- [3] Poupart S, Navarro-Castellanos I, Raboisson M, et al. Supravalvular and valvular pulmonary stenosis:predictive features and responsiveness to percutaneous dilation. Pediatr cardiol, 2021. Online ahead of print.
- [4]梁栋,韩宇,李江振,等.经皮肺动脉瓣狭窄球囊成形术的概况与进展.中国循证心血管医学杂志,2019,11(6):757-759.
- [5]庹娟,陈沅,李谧,等.经皮球囊肺动脉瓣成形术治疗儿童肺动脉瓣狭窄合并肺动脉瓣下狭窄及瓣上狭窄的临床分析.重庆医科大学学报,2015, 40(4):516-521.
- [6]解启莲,高磊,王震,等.法洛三联症的介入治疗及疗效评价.实用儿科临床杂志,2006, 12(23):1619-1620.
- [7]朱玉峰,李长永,白元,等.同期介入治疗重度肺动脉瓣狭窄合并超声漏诊的房间隔缺损一例.介入放射学杂志,2013, 22(12):993-994.