检索结果-南通市图书馆

Immediate Therapeutic Outcomes and Medium-term Follow-up of Percutaneous Balloon pulmonary Valvuloplasty in Infants with pulmonary valve stenosis： A Single-center Retrospective Study

引用

Chinese Medical Journal 2017年第23期130卷 2785-2792页

作者： Dian Hong Ming-Yang Qian Zhi-Wei Zhang Shu-Shui Wang Jun-Jie Li Yi-Fan Li Tian Liu Department of Pediatric Cardiology Guangdong Cardiovascular Institute Guangdong General Hospital Guangdong Academy of Medical Science Guangzhou Guangdong 510100 China Shantou University Medical College Shantou Guangdong 515041 China

Background： Percutaneous balloon pulmonary valvuloplasty （PBPV） is the preferred therapy for pulmonary valve stenosis （PVS）. This study retrospectively reviewed recent PBPV outcomes in infants with PVS. The aim of this study was to evaluate factors associated with immediate therapeutic outcomes and restenosis during medium-term follow-up. Methods： The study included 158 infants with PVS who underwent PBPV from January 2009 to July 2015. Demographic characteristics and patient records were reviewed, including detailed hospitalization parameters, hemodynamic data before and immediately after balloon dilation, cineangiograms,and echocardiograms before PBPV and at each *** procedures were performed by more than two experienced operators. Results： Immediately after balloon dilation, the pressure gradient across the pulmonary valve decreased from 73.09 ± 21.89 mmHg （range： 43-151 mmHg） to 24.49 ± 17.00 mmHg （range： 3-92 mmHg; P 〈 0.001） and the right ventricular systolic pressure decreased from 95.34 ± 23.44 mmHg （range： 60-174 mmHg） to 52.07 ± 18.89 mmHg （range： 22-134 mmHg; P 〈 0.001）. Residual transvalvular pressure gradientsof67.31±15.19mmHg（range：50-92mmHg）werefoundin8.2%ofpatients,indicatingpoortherapeuticeffects;6.4%ofpatientshad variable-staged restenosis at follow-up and 3.8% underwent reintervention by balloon dilation or surgical repairs. Further analysis demonstrated that the balloon/annulus ratio showed statistically significant differences（P 〈 0.05） among groups with different therapeutic effects and between the restenosis and no-stenosis groups. Binary logistic regression analysis further revealed that higher balloon/annulus ratio （odds ratio： 0.005, 95% confidence interval： 0-0.39） was an independent protective factor for restenosis. The rate of severe complications was 1.9%. Conclusions： PBPV is a definitive therapy for infants with PVS based on its effectiveness, feasibility, and safety. Restenosis upon medium-term follow-up is relatively rare.

关键词： Balloon Valvuloplasty Cardiac Catheterization: Infants pulmonary valve stenosis

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Transcatheter pulmonic valve implantation: Techniques, current roles, and future implications

引用

World Journal of Cardiology 2021年第5期13卷 117-129页

作者： Mark Aaron Law Arka Chatterjee Department of Pediatric Cardiology Division of CardiologyUniversity of Alabama at BirminghamBirminghamAL 35233United States Division of Cardiology University of Arizona College of MedicineTusconAZ 85724United States

Right ventricular outflow tract(RVOT)obstruction is present in a variety of congenital heart disease states including tetralogy of Fallot,pulmonary atresia/stenosis and other conotruncal abnormalities *** surgical repair,these patients develop RVOT residual abnormalities of pulmonic stenosis and/or insufficiency of their native outflow tract or right ventricle to pulmonary artery *** are also sequelae of other surgeries like the Ross operation for aortic valve disease that lead to right ventricle to pulmonary artery conduit *** pulmonic valve replacement(SPVR)has been the mainstay for these patients and is considered standard of *** pulmonic valve implantation(TPVI)was first reported in 2000 and has made strides as a comparable alternative to SPVR,being approved in the United States in *** provide a comprehensive review in this space–indications for TPVI,detailed procedural facets and up-to-date review of the literature regarding outcomes of *** has been shown to have favorable medium-term outcomes free of reinterventions especially after the adoption of the practice of pre-stenting the *** mortality and complications are *** more experience,recognition of risk of dreaded outcomes like coronary compression has ***,conduit rupture is increasingly being managed with transcatheter *** over endocarditis risk still prevail in the TPVI ***-to-head comparisons to SPVR are still limited but available data suggests *** also discuss newer valve technologies that have limited data currently and may have more applicability for treatment of native dysfunctional RVOT substrates.

关键词： pulmonary valve Congenital heart defects Heart valve prosthesis implant pulmonary valve insufficiency pulmonary atresia pulmonary valve stenosis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Anesthetic management of a child with Cornelia de Lange Syndrome undergoing open heart surgery:A case report

引用

World Journal of Cardiology 2022年第1期14卷 54-63页

作者： Oguzhan Arun Bahar Oc Esma Nur Metin Ahmet Sert Resul Yilmaz Mehmet Oc Department of Anesthesiology and Reanimation Selcuk University Faculty of MedicineKonya 42130Turkey Department of Pediatric Cardiology Selcuk University Faculty of MedicineKonya 42130Turkey Pediatric Intensive Care Selcuk University Faculty of MedicineKonya 42130Turkey Department of Cardiovascular Surgery Selcuk University Faculty of MedicineKonya 42130Turkey

BACKGROUND Cornelia de Lange syndrome(CdLS)is a congenital multisystemic genetic *** expected lifespan of children with this disorder has been prolonged in parallel with the advances in medicine in recent ***,they still more frequently undergo cardiac *** are some challenges for clinicians when faced with CdLS *** present the perioperative management of a child with CdLS undergoing open-heart *** SUMMARY Severe pulmonic and subpulmonic valvular stenosis,enlargement of the right side of the heart,mild tricuspid regurgitation,atrial septal defect,and patent ductus arteriosus were diagnosed in a 14-month-old boy with manifested cyanosis,developmental delay,and *** balloon valvuloplasty was unsuccessful due to a severe stenotic pulmonary valve,therefore it was decided to perform an open surgical *** a successful and uncomplicated intraoperative course,the patient was extubated on postoperative day 5,and adrenalin and dopamine infusions were gradually decreased and stopped on postoperative days 6 and 10,*** laryngomalacia and suboptimal vocal cord movements were diagnosed,and tracheotomy and percutaneous endoscopic gastrostomy were performed under general anesthesia in the same session at postoperative day *** patient was discharged on postoperative day 85 after a challenging postoperative period with additional airway and nutritional *** This is the first report of the perioperative anesthetic and clinical management of a CdLS patient undergoing open-heart surgery.

关键词： Cornelia de Lange Syndrome Brachmann de Lange Syndrome pulmonary valve stenosis Valvular heart disease Cardiac surgery Anesthesia Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：