[1]张文倩 周玲梅 王超杰 张智伟.室间隔缺损合并主动脉瓣脱垂的诊断与治疗[J].心血管病学进展,2021,(8):673-676.[doi:10.16806/j.cnki.issn.1004-3934.2021.08.001]
 ZHANG WenqianZHOU LingmeiWANG ChaojieZHANG Zhiwei.Diagnosis and Treatment of Ventricular Septal Defect with Aortic Valve Prolapse[J].Advances in Cardiovascular Diseases,2021,(8):673-676.[doi:10.16806/j.cnki.issn.1004-3934.2021.08.001]
点击复制

室间隔缺损合并主动脉瓣脱垂的诊断与治疗()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2021年8期
页码:
673-676
栏目:
综述
出版日期:
2021-08-25

文章信息/Info

Title:
Diagnosis and Treatment of Ventricular Septal Defect with Aortic Valve Prolapse
作者:
张文倩12 周玲梅1 王超杰23 张智伟1
(1.广东省心血管病研究所心儿科 广东省人民医院 广东省医学科学院, 广东 广州 ?5100802.南方医科大学第二临床医学院, 广东 广州 ?5105153.广东省心血管病研究所心外科 广东省人民医院 广东省医学科学院, 广东 广州 ,510080)
Author(s):
ZHANG Wenqian12ZHOU Lingmei1WANG Chaojie23ZHANG Zhiwei1
(1.Department of Cardiac Pediatrics,Guangdong Cardiovascular Institute,Guangdong Provincial General Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080 ,Guangdong,China 2.Graduate School,The Second School of Clinical Medicine,Southern Medical University,Guangzhou 510515 ,Guangdong,China 3.Department of Cardiovascular Surgery,Guangdong Cardiovascular Institute,Guangdong Provincial General Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080 ,Guangdong,China)
关键词:
室间隔缺损主动脉瓣脱垂诊断治疗
Keywords:
Ventricular septal defectAortic valve prolapseDiagnosisTreatment
DOI:
10.16806/j.cnki.issn.1004-3934.2021.08.001
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。
Abstract:
Ventricular septal defect is one of the common congenital heart diseases 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 that 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.

参考文献/References:


[1] Ando M,Takao A. Pathological anatomy of ventricular septal defect associated with aortic valve prolapse and regurgitation[J]. Heart Vessels,1986,2(2):117-126.

[2] Soto B,Becker AE,Moulaert AJ,et al. Classification of ventricular septal defects[J]. Br Heart J,1980,43(3):332-343.

[3] Eroglu AG,Atik SU,Sengenc E,et al. Evaluation of ventricular septal defect with special reference to the spontaneous closure rate,subaortic ridge,and aortic valve prolapse Ⅱ[J]. Pediatr Cardiol,2017,38(5):915-921.

[4] Padiyath A,Makil ES,Braley KT,et al. Frequency of development of aortic valve disease in unrepaired perimembranous ventricular septal defects[J]. Am J Cardiol,2017,119(10):1670-1674.

[5] Shamsuddin AM,Chen YC,Wong AR,et al. Surgery for doubly committed ventricular septal defects[J]. Interact Cardiovasc Thorac Surg,2016,23(2):231-234.

[6] Tweddell JS,Pelech AN,Frommelt PC.Ventricular septal defect and aortic valve regurgitation:pathophysiology and indications for surgery[J]. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu,2006:147-152.

[7] Leung MP,Chau KT,Chiu C,et al. Intraoperative TEE assessment of ventricular septal defect with aortic regurgitation[J]. Ann Thorac Surg,1996,61(3):854-860.

[8] 王树杰,谢兆丰,李珊 ,等.超声心动图诊断膜周部室间隔缺损伴右冠瓣脱垂的可行性[J].实用医学杂志,2016,32(13):2142-2145.

[9] Lin HC,Lin MT,Chen CA ,et al. Safety and efficacy of transcatheter closure of outlet-type ventricular septal defects in children and adults with Amplatzer Duct Occluder Ⅱ[J]. J Formos Med Assoc,2021,120(1 Pt 1):180-188.

[10] Jung H,Cho JY,Lee Y.Progression of aortic regurgitation after subarterial ventricular septal defect repair:optimal timing of the operation[J]. Pediatr Cardiol,2019,40(8):1696-1702.

[11] Rao PS,Harris AD.Recent advances in managing septal defects :ventricular septal defects and atrioventricular septal defects[J]. F1000Res,2018,7:F1000 Faculty Rev-498.

[12] Lock JE,Block PC,McKay RG,et al. Transcatheter closure of ventricular septal defects[J]. Circulation,1988,78(2):361-368.

[13] 中国医师协会儿科医师分会先天性心脏病专家委员会,中华医学会儿科学分会心血管学组,《中华儿科杂志》编辑委员会.儿童常见先天性心脏病介入治疗专家共识[J].中华儿科杂志,2015,53(1):17-24.

[14] Chen GL,Li HT,Li HR,et al. Transcatheter closure of ventricular septal defect in patients with aortic valve prolapse and mild aortic regurgitation:feasibility and preliminary outcome[J]. Asian Pac J Trop Med,2015,8(4):315-318.

[15] 韩宇,高传玉,徐红党,等.单纯食管超声引导经股动脉逆行封堵室间隔缺损的可行性[J].中华医学杂志,2016,96(14):1131-1133.

[16]吴澄,钟小梅.超声引导下经皮介入治疗室间隔缺损的研究[J].江西药,2019,54(3):275-277.

[17] 陈智,杨舟,肖云彬,等.儿童室间隔缺损并主动脉瓣脱垂51例精准介入治疗的效果[J].精准医学杂志,2018,33(5):380-384.

[18] Chen F,Li P,Liu S,et al. Transcatheter closure of intracristal ventricular septal defect with mild aortic cusp prolapse using zero eccentricity ventricular septal defect occluder[J]. Circ J,2015,79(10):2162-2168.

[19] Ghosh S,Sridhar A,Sivaprakasam M.Complete heart block following transcatheter closure of perimembranous VSD using amplatzer duct occluder Ⅱ[J]. Catheter Cardiovasc Interv,2018,92(5):921-924.

[20] Narin N,Baykan A,Pamukcu O,et al. ADOⅡ in percutaneous VSD closure in pediatric patients[J]. J Interv Cardiol,2015,28(5):479-484.

[21] Shyu TC,Lin MC,Quek YW,et al. Initial experience of transcatheter closure of subarterial VSD with the Amplatzer duct occluder[J]. J Chin Med Assoc,2017,80(8):487-491.

[22] Udink Ten Cate FEA,Sobhy R,Kalantre A,et al. Off-label use of duct occluder devices to close hemodynamically significant perimembranous ventricular septal defects:a multicenter experience [J]. Catheter Cardiovasc Interv,2019,93(1):82-88.

[23] Ugan Atik S,Guler Eroglu A.Aortic valve prolapse and aortic regurgitation during long-term follow up in children with ventricular septal defect[J]. J Heart Valve Dis,2017,26(6):616-623.

[24] Jian-Jun G,Xue-Gong S,Ru-Yuan Z,et al. Ventricular septal defect closure in right coronary cusp prolapse and aortic regurgitation complicating VSD in the outlet septum:which treatment is most appropriate?[J]. Heart Lung Circ,2006,15(3):168-171.

[25] Zhang S,Zhu D,An Q,et al. Minimally invasive perventricular device closure of doubly committed sub-arterial ventricular septal defects:single center long-term follow-up results[J]. J Cardiothorac Surg,2015,10:119.

[26]Yu Jin,Ma Lia nglong,Ye Jingjing et al. Doubly committed ventricular septal defect closure using eccentric occluder via ultraminimal incision[J]. Eur J Cardiothorac Surg,2017,52:805-809.

[27] Zhao Yang C,Hua C,Yuan Ji M,et al. Transfemoral and perventricular device occlusions and surgical repair for doubly committed subarterial ventricular septal defects[J]. Ann Thorac Surg,2015,99(5):1664-1670.

[28] Lin K,Zhu D,Tao K,et al. Hybrid perventricular device closure of doubly committed subarterial ventricular septal defects:mid-term results[J]. Catheter Cardiovasc Interv,2013,82(3):E225-E232.

[29] Pan S,Xing Q,Cao Q,et al. Perventricular device closure of doubly committed subarterial ventral septal defect through left anterior minithoracotomy on beating hearts[J]. Ann Thorac Surg,2012,94(6):2070-2075.

[30] Chen Q,Hong ZN,Zhang GC,et al. Intraoperative device closure of isolated ventricular septal defects:experience on 1,090 cases[J]. Ann Thorac Surg,2018,105(6):1797-1802.

相似文献/References:

[1]于文波 翟波.婴幼儿室间隔缺损经食管超声引导微创外科封堵治疗的研究进[J].心血管病学进展,2021,(5):429.[doi:10.16806/j.cnki.issn.1004-3934.2021.05.011]

备注/Memo

备注/Memo:
基金项目: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) 通信作者:张智伟,E-mail:drzhangzhiwei@126.com 收稿日期:2020-12-21
更新日期/Last Update: 2021-09-26