EARLY BALLOON DILATATION OF THE PULMONARY VALVE IN INFANTS WITH TETRALOGY OF FALLOT - RISKS AND BENEFITS
EARLY BALLOON DILATATION OF THE PULMONARY VALVE IN INFANTS WITH TETRALOGY OF FALLOT - RISKS AND BENEFITS
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DOI：
10.1161/01.cir.91.5.1506
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发表时间：
1995-03-01
期刊：
影响因子：
37.8
通讯作者：
VLIERS, A
中科院分区：
文献类型：
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作者：
SLUYSMANS, T;NEVEN, B;VLIERS, A
背景球囊扩张，一个既定的治疗肺动脉瓣狭窄，仍然是一个有争议的程序在tetralogy of Fallot.Methods和Results球囊扩张肺动脉瓣进行了19名婴儿与法洛四联症。评估了其对紫绀严重程度、肺动脉瓣和肺动脉生长以及跨瓣环修补需要的影响。分析了临床、超声心动图、血管造影、血流动力学和手术数据。手术安全，无严重并发症。球囊扩张后，全身氧饱和度从平均值79%增加到90%。在4名患者中，这种增加被证明是短暂的，他们在6个月大之前就需要手术。球囊扩张使肺动脉瓣环的平均直径从4.9 mm增加到6.9 mm（P
Background Balloon dilatation, an established treatment for pulmonary valve stenosis, remains a controversial procedure in tetralogy of Fallot.Methods and Results Balloon dilatation of the pulmonary valve was performed in 19 infants with tetralogy of Fallot. Its effects on the severity of cyanosis, the growth of the pulmonary valve and pulmonary arteries, and the need for transannular patching were evaluated. Clinical, echographic, angiographic, hemodynamic, and operative data were analyzed. The procedure was safe in all, without significant complications. After balloon dilatation, systemic oxygen saturation increased from a mean value of 79% to 90%. This increase proved to be short-lasting in 4 patients, who required surgery before the age of 6 months. Balloon dilatation increased pulmonary annulus size in each case, from a mean value of 4.9 to 6.9 mm (P