李德剑,陈松,徐超,姜雪,王波,冯建飞,宋东邦,张国辉,王明权,王伟民,张大东

• 1:无锡明慈心血管病医院心内科

摘要(Abstract)：

过去30年间，经皮二尖瓣球囊成形术在X线和床旁超声指导下完成。但仍有部分大心房的二尖瓣狭窄患者行球囊扩张失败。心腔内超声指导下经皮二尖瓣球囊成形术精准可行，可减少并发症的发生，提高该类高龄复杂病例的成功率。本病例报道2例重度二尖瓣狭窄患者，经心腔内超声引导行经皮二尖瓣球囊成形术，手术成功，未发生相关并发症，为临床治疗二尖瓣狭窄提供一定的参考。

关键词(KeyWords)： 风湿性心脏病;二尖瓣狭窄;心腔内超声;经皮二尖瓣球囊成形术

Abstract:

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基金项目(Foundation):

作者(Author): 李德剑,陈松,徐超,姜雪,王波,冯建飞,宋东邦,张国辉,王明权,王伟民,张大东

参考文献(References)：

• [1]中国心血管健康与疾病报告编写组.《中国心血管健康与疾病报告2022》概要[J].中国介入心脏病学杂志，2023,31(7):485-508. DOI:10.3969/j.issn.1004-8812.2023.07.002.
• [2] Yang Y, Wang Z, Chen Z, et al. Current status and etiology of valvular heart disease in China:a population-based survey[J].BMC Cardiovasc Disord, 2021, 21(1):339. DOI:10.1186/s12872-021-02154-8.
• [3]中华医学会胸心血管外科分会瓣膜病外科学组.风湿性二尖瓣病变外科治疗指征中国专家共识[J].中华胸心血管外科杂志，2022,38(3):132-137. DOI:10.3760/cma. j.cn112434-20220126-00026.
• [4] OttoCM,Nishimura RA,Bonnow RO,et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease:executive summary:a report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines[J]. Circulation, 2021, 143(5):e35-e71. DOI:10.1161/CIR.0000000000000932.
• [5]侯子山，欧知宏，陈冠平，等.经皮二尖瓣球囊扩张术394例随访结果[J].中国介入心脏病学杂志，2001, 9(1):36-37. DOI:10.3969/j.issn.1004-8812.2001.01.014.
• [6] Chen CR, Cheng TO. Percutaneous balloon mitral valvuloplasty by the Inoue technique:a multicenter study of 4832 patients in China[J]. Am Heart J, 1995, 129(6):1197-1203.DOI:10.1016/0002-8703(95)90404-2.
• [7]钟敬泉，龙德勇，马长生，等.心腔内超声心动图中国专家共识[J].中国心脏起搏与心电生理杂志，2022,36(5):377-403. DOI:10.13333/j.cnki.cjcpe.2022.05.001.
• [8]李德剑，徐超，冯建飞，等.心腔内超声指导联合可调弯鞘管心肌活检诊断1例[J].中国介入心脏病学杂志，2023, 31(8):629-632. DOI:10.3969/j.issn.1004-8812.2023.08.012.
• [9] Salem MI,Makaryus AN,Kort S,et al. Intracardiac echocardiography using the acunav ultrasound catheter during percutaneous balloon mitral valvuloplasty[J]. J Am Soc Echocardiogr,2002,15(12):1533-1537. DOI:10.1067/mje.2002.126771.
• [10] Marmagkiolis K, Cilingiroglu M.Intracardiac echocardiography guided percutaneous mitral balloon valvuloplasty[J]. Rev Port Cardiol,2013, 32(4):337-339. DOI:10.1016/j.repc.2012.08.014.
• [11] Green NE,Hansgen AR,Carroll JD. Initial clinical experience with intracardiac echocardiography in guiding balloon mitral valvuloplasty:technique, safety, utility, and limitations[J]. Catheter Cardiovasc Interv, 2004, 63(3):385-394. DOI:10.1002/ccd.20177.
• [12] Saji M, Ragosta M, Dent J,et al. Use of intracardiac echocardiography to guide percutaneous transluminal mitral commissurotomy:a 20-patient case series[J]. Catheter Cardiovasc Interv, 2016, 87(2):E69-E74. DOI:10.1002/ccd.25943.
• [13] Patel KM, Desai RG, Trivedi K, et al. Complications o f transesophageal echocardiography:a review of injuries, risk factors, and management[J]. J Cardiothorac Vasc Anesth, 2022,36(8 Pt B):3292-3302. DOI:10.1053/j.jvca.2022.02.015.