先天性左心室流出道梗阻的手术治疗_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

殷强 , 韩跃虎 , 朱海龙 , 陈涛 , 孙国成 , 杨勇 ,  顾春虎

空军军医大学西京医院心血管外科（西安 710032）;

Corresponding author：

顾春虎, Email: guchunhu@fmmu.edu.cn

Keywords：

先天性心脏病; 体外循环; 左心室流出道梗阻; 手术治疗

DOI：

10.7507/1007-4848.201805043

Video：

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目的分析我们中心近年来先天性左心室流出道梗阻患儿的外科治疗经验，总结手术方式及治疗效果。方法回顾性分析 2011 年 11 月至 2017 年 12 月我院心血管外科共收治先天性左心室流出道梗阻患儿 58 例的临床资料。男 37 例、女 21 例，年龄 2～16 个月（8.49 ± 3.21）岁，体重 2.70～56.00（31.00±6.72）kg。所有患儿均在全身麻醉低温体外循环下行外科矫治术。结果所有患儿顺利出院，随访 6～72 个月。患儿术后心功能良好，行主动脉瓣置换的患儿人工瓣功能正常，无瓣周漏、传导障碍及明显的出凝血并发症。结论先天性左心室流出道梗阻的外科矫治效果良好。选择合适的手术方式、完全有效的解除流出道梗阻及坚持长期随访等，往往能够取得满意的外科治疗效果，促进患儿术后康复。

Citation： 殷强, 韩跃虎, 朱海龙, 陈涛, 孙国成, 杨勇, 顾春虎. 先天性左心室流出道梗阻的手术治疗. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(3): 290-293. doi: 10.7507/1007-4848.201805043 Copy

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2.	Kitchiner D, Jackson M, Malaiya N, et al. Incidenceand prognosis of obstruction of the left ventricular outflowtract in Liverpool (1960-91): a study of 313 patients. Br Heart J, 1994, 71(6): 588-595.
3.	Samanek M, Slavik Z, Zborilova B, et al. Prevalence, treatment, and outcome of heart disease in live-born children: a prospective analysis of 91, 823 live-born children. Pediatr Cardiol, 1989, 10(4): 205-211.
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5.	Campbell M, Kauntze R. Congenital aortic valvularstenosis. Br Heart J, 1953, 15: 179-194.
6.	Roberts WC. Valvular, subvalvular and supravalvular aortic stenosis: morphologic features. Cardiovasc Clin, 1973, 5(1): 97-126.
7.	Kitchiner DJ, Jackson M, Walsh K, et al. Incidenceand prognosis of congenital aortic valve stenosis in Liverpool. Br Heart J, 1993, 69(1): 71-79.
8.	Barkhordarian R, Wen-Hong D, Li W, et al. Geometry of the left ventricular outflow tract in fxed subaortic stenosis and intact ventricular septum: an echocardiographic study in children and adults. J Thorac Cardiovasc Surg, 2007, 133(1): 196-203.
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11.	Delius RE, Steinberg JB, L’Ecuyer T, et al. Long-term follow-up of extended aortoplasty for supravalvular aortic stenosis. J Thorac Cardiovasc Surg, 1995, 109(1): 155-162.
12.	Brown JW, Ruzmetov M, Vijay P, et al. Surgical repair of congenital supravalvular aortic stenosis in children. Eur J Cardiothorac Surg, 2002, 21(1): 50-56.

1. Darcin OT, Yagdi T, Atay Y, et al. Discrete subaorticstenosis: surgical outcomes and follow-up results. Tex Heart Inst J, 2003, 30(4): 286-292.
2. Kitchiner D, Jackson M, Malaiya N, et al. Incidenceand prognosis of obstruction of the left ventricular outflowtract in Liverpool (1960-91): a study of 313 patients. Br Heart J, 1994, 71(6): 588-595.
3. Samanek M, Slavik Z, Zborilova B, et al. Prevalence, treatment, and outcome of heart disease in live-born children: a prospective analysis of 91, 823 live-born children. Pediatr Cardiol, 1989, 10(4): 205-211.
4. Collis RA, Rahman MS, et al. Outcomes following the surgical management of left ventricular outflow tract obstruction; A systematic review and meta-analysis. Int J Cardiol, 2018, 15: 62-70.
5. Campbell M, Kauntze R. Congenital aortic valvularstenosis. Br Heart J, 1953, 15: 179-194.
6. Roberts WC. Valvular, subvalvular and supravalvular aortic stenosis: morphologic features. Cardiovasc Clin, 1973, 5(1): 97-126.
7. Kitchiner DJ, Jackson M, Walsh K, et al. Incidenceand prognosis of congenital aortic valve stenosis in Liverpool. Br Heart J, 1993, 69(1): 71-79.
8. Barkhordarian R, Wen-Hong D, Li W, et al. Geometry of the left ventricular outflow tract in fxed subaortic stenosis and intact ventricular septum: an echocardiographic study in children and adults. J Thorac Cardiovasc Surg, 2007, 133(1): 196-203.
9. de Vries AG, Hess J, Witsenburg M, et al. Management of fixed subaortic stenosis: a retrospective study of 57 cases. J Am Coll Cardiol, 1992, 19(5): 1013-1017.
10. van Son JA, Danielson GK, Puga FJ, et al. Supravalvular aortic stenosis. Long-term results of surgical treatment. J Thorac Cardiovasc Surg, 1994, 107(1): 103-114.
11. Delius RE, Steinberg JB, L’Ecuyer T, et al. Long-term follow-up of extended aortoplasty for supravalvular aortic stenosis. J Thorac Cardiovasc Surg, 1995, 109(1): 155-162.
12. Brown JW, Ruzmetov M, Vijay P, et al. Surgical repair of congenital supravalvular aortic stenosis in children. Eur J Cardiothorac Surg, 2002, 21(1): 50-56.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

先天性左心室流出道梗阻的手术治疗

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