室间隔缺损封堵术后持续性完全性左束支传导阻滞外科治疗缓解一例
戴辰程,魏淑萍,郭保静,韩玲
摘要(Abstract)：
完全性左束支传导阻滞是膜周部室间隔缺损封堵术后发生的并发症之一,若药物治疗无效,晚期可引起左心室进行性增大及左心功能不全的潜在风险,一旦发生该并发症,治疗相当棘手。一般多见于7岁以下患儿,常采用内科药物疗法,但其效果不佳,预后差,国内已有2例因心衰死亡。目前因对发生左心室增大原因不甚清楚,故尚无理想的治疗方法。本例采用外科手术治疗取得了较为满意的效果,值得介入医师借鉴。是否所有发生该并发症的病例都能经外科手术恢复或抑
关键词(KeyWords)：
基金项目(Foundation):
作者(Author): 戴辰程,魏淑萍,郭保静,韩玲
参考文献(References)：
- [1]白元,宗刚军,秦永文.室间隔缺损介入术后传导阻滞的研究现状.中国临床保健杂志,2009,12:208-210.
- [2]孙宪军,高伟,周爱卿,等.膜周部室间隔缺损.经导管封堵术后早期心律失常危险因素的探讨.中华儿科杂志,2005,43:767-771.
- [3]Milo S,Ho SY,Wilkinson JK,et al.Surgical anatomy and atrioventricular conduction tissues of hearts with isolated ventricular septal defects.J Thorac Cardiovasc Surg,1980,79:244.
- [4]Yip WC,Zimmerman F,Hijazi ZM,et al.Heart block and empirical therapy after transcatheter closure of perimembranous ventricular septal defect.Catheter Cardiovasc Interv,2005,66:436-441.
- [5]Ozdemir K,Altunkeser BB,Danis G,et al.Effect of the isolated left bundle branch block on systolic and diastolic function of left ventricle.J Am Soe Echocardiogr,2001,14:1075.
- [6]Zanco P,Desideri A,Mobilia G,et al.Effects of left bundle branch block on myocardial FDG PET in patients without significant coronary artery stenoses.J Nul Med,2000,41:973.
- [7]Hasegawa S,Sakata Y,Ishikura F,et al.Mechanism for abnormal thallium2201myocardial Scintigraphy in patients with left bundle branch block in the absence of angiographic coronary artery disease.Ann Nucl Med,1999,13:253.
- [8]Walsh MA,Bialwosji J,Szkutnik M,et al.Atrioventricular block after transcatheter closure of perimembranous ventricular septal defect.Heart,2007,93:355-358.