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代政学，张玉顺，王海昌，贾国良，刘建平，王小燕
房间隔缺损,,房间隔缺损；肺动脉瓣狭窄；心脏导管插入术,1对象和方法,2结果,3讨论,【参考文献】
Concurrent percutaneous atrial septal defect closure and pulmonary valvuloplasty
DAI ZhengXue, ZhANG YuShun, WANG HaiChang, JIA GuoLiang, LIU JianPing, WANG XiaoYan
Department of Cardiovasology, Xijing Hospital, Fourth Military Medical University, Xian 710033, China
【Abstract】 AIM: To evaluate the effectiveness and short term results of combined percutaneous ballon pulmonary valvuloplasty (PBPV) and atrial septal defect closure for pulmonary valvular stenosis (PS) associated with seccundum atrial septal defect (ASD) . METHODS: Eight patients, 3~37 (13±15)years old, were confirmed with ASD in association with PS by transthoracic echocardiography (TTE). Percutaneous balloon pulmonary valvuloplasty (PBPV) was done initially; ASD was closed later using Amplatzer occluder device under guidance of fluoroscopy and transesophageal echocardiography (TEE)or TTE, TTE were performed immediately and 24 h, 1 mo, 3 mo and 6 mo after occlusion to evaluate the efficiency. RESULTS: The procedure was successful in all 8 patients. Right ventricular systolic pressure significantly decreased from (11.57±4.09) kPa to [5.49±2.09 kPa (P<0.001)]. The transpulmonary valve systolic gradient significantly decreased from (7.57±4.49) kPa to [1.89±1.63 kPa (P<0.001)] immediately after PBPV; No residual shunt of atrial septal was found in 8 patients immediately after the procedure and in the followup. CONCLUSION: Simultaneous PBPV and closure of the ASD appears to be an effective and safe modality for PS associated with ASD .It should be an alternative to surgery. ......
DAI ZhengXue, ZhANG YuShun, WANG HaiChang, JIA GuoLiang, LIU JianPing, WANG XiaoYan
Department of Cardiovasology, Xijing Hospital, Fourth Military Medical University, Xian 710033, China
【Abstract】 AIM: To evaluate the effectiveness and short term results of combined percutaneous ballon pulmonary valvuloplasty (PBPV) and atrial septal defect closure for pulmonary valvular stenosis (PS) associated with seccundum atrial septal defect (ASD) . METHODS: Eight patients, 3~37 (13±15)years old, were confirmed with ASD in association with PS by transthoracic echocardiography (TTE). Percutaneous balloon pulmonary valvuloplasty (PBPV) was done initially; ASD was closed later using Amplatzer occluder device under guidance of fluoroscopy and transesophageal echocardiography (TEE)or TTE, TTE were performed immediately and 24 h, 1 mo, 3 mo and 6 mo after occlusion to evaluate the efficiency. RESULTS: The procedure was successful in all 8 patients. Right ventricular systolic pressure significantly decreased from (11.57±4.09) kPa to [5.49±2.09 kPa (P<0.001)]. The transpulmonary valve systolic gradient significantly decreased from (7.57±4.49) kPa to [1.89±1.63 kPa (P<0.001)] immediately after PBPV; No residual shunt of atrial septal was found in 8 patients immediately after the procedure and in the followup. CONCLUSION: Simultaneous PBPV and closure of the ASD appears to be an effective and safe modality for PS associated with ASD .It should be an alternative to surgery. ......