主动脉瓣成形术治疗儿童主动脉瓣疾病 30 例_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

靳永强 , 李洪银 , 薛辉 , 陈国良 , 张晓雅 ,  吴清玉

清华大学第一附属医院心脏中心（北京 100016）;

Corresponding author：

吴清玉, Email: wuqingyu@mail.tsinghua.edu.cn

Keywords：

主动脉瓣成形; 儿童; 主动脉瓣狭窄; 主动脉瓣关闭不全

DOI：

10.7507/1007-4848.201812064

Video：

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目的总结我院用主动脉瓣成形术治疗儿童主动脉瓣疾病的方法和结果。方法回顾性分析我院2005 年 1 月至 2017 年 12 月 30 例行主动脉瓣成形术患儿的临床资料，其中男 17 例、女 13 例，年龄 4 个月～16 岁，平均年龄（6.7±4.3）岁，体重 5.6～62.4（23.7±14.1）kg。结果 30 例患者均存活，围术期无严重并发症，术后平均跨瓣压差（21.1±17.0）mm Hg。随访 9 个月～13 年，共有 4 例患儿出现中度以上的主动脉瓣狭窄或关闭不全，其中 1 例行再次手术。其余患者瓣膜功能良好。结论主动脉瓣成形术安全可靠，近中期效果良好，少数患者仍需再次手术，可作为治疗儿童主动脉瓣疾病的首选术式。

Citation： 靳永强, 李洪银, 薛辉, 陈国良, 张晓雅, 吴清玉. 主动脉瓣成形术治疗儿童主动脉瓣疾病 30 例. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(10): 1038-1041. doi: 10.7507/1007-4848.201812064 Copy

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2.	Siu SC, Silversides CK. Bicuspid aortic valve disease. J Am Coll Cardiol, 2010, 55(25): 2789-2800.
3.	Karamlou T, Jang K, Williams WG, et al. Outcomes and associated risk factors for aortic valve replacement in 160 children: a competing-risks analysis. Circulation, 2005, 112(22): 3462-3469.
4.	Chan V, Malas T, Lapierre H, et al. Reoperation of left heart valve bioprostheses according to age at implantation. Circulation, 2011, 124(11 Suppl): S75-S80.
5.	Jaquiss RD. Bioprosthetic aortic valve replacement in the young: a cautionary tale. Circulation, 2014, 130(1): 7-9.
6.	Goldstone AB, Chiu P, Baiocchi M, et al. Mechanical or biologic prostheses for aortic-valve and mitral-valve replacement. N Engl J Med, 2017, 377(19): 1847-1857.
7.	Lababidi Z. Aortic balloon valvuloplasty. Am Heart J, 1983, 106(4 Pt 1): 751-752.
8.	Lababidi Z, Wu JR, Walls JT. Percutaneous balloon aortic valvuloplasty: results in 23 patients. Am J Cardiol, 1984, 53(1): 194-197.
9.	Pedra CA, Sidhu R, McCrindle BW, et al. Outcomes after balloon dilation of congenital aortic stenosis in children and adolescents. Cardiol Young, 2004, 14(3): 315-321.
10.	Ross DN. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet, 1967, 2(7523): 956-958.
11.	Elkins RC, Thompson DM, Lane MM, et al. Ross operation: 16-year experience. J Thorac Cardiovasc Surg, 2008, 136(3): 623-630.
12.	Pasquali SK, Cohen MS, Shera D, et al. The relationship between neo-aortic root dilation, insufficiency, and reintervention following the Ross procedure in infants, children, and young adults. J Am Coll Cardiol, 2007, 49(17): 1806-1812.
13.	Tan Tanny SP, Yong MS, d'Udekem Y, et al. Ross procedure in children: 17-year experience at a single institution. J Am Heart Assoc, 2013, 2(2): e000153.
14.	Schneider AW, Putter H, Klautz RJM, et al. Long-term follow-up after the Ross procedure: a single center 22-year experience. Ann Thorac Surg, 2017, 103(6): 1976-1983.
15.	David TE, Omran A, Ivanov J, et al. Dilation of the pulmonary autograft after the Ross procedure. J Thorac Cardiovasc Surg, 2000, 119(2): 210-220.
16.	Siddiqui J, Brizard CP, Konstantinov IE, et al. Outcomes after operations for bicuspid aortic valve disease in the pediatric population. Ann Thorac Surg, 2013, 96(6): 2175-2183.
17.	Al Halees Z, Al Shahid M, Al Sanei A, et al. Up to 16 years follow-up of aortic valve reconstruction with pericardium: a stentless readily available cheap valve? Eur J Cardiothorac Surg, 2005, 28(2): 200-205.
18.	d'Udekem Y, Siddiqui J, Seaman CS, et al. Long-term results of a strategy of aortic valve repair in the pediatric population. J Thorac Cardiovasc Surg, 2013, 145(2): 461-467.
19.	金晶, 华正东, 曾祥军, 等. 单个主动脉瓣叶牛心包置换术治疗儿童室间隔缺损并主动脉瓣反流. 中国胸心血管外科临床杂志, 2014, 21(2): 216-219.

1. 陈宝田, 董然. 先天性主动脉瓣狭窄的外科治疗. 心肺血管病杂志, 1997, 16(2): 121-123.
2. Siu SC, Silversides CK. Bicuspid aortic valve disease. J Am Coll Cardiol, 2010, 55(25): 2789-2800.
3. Karamlou T, Jang K, Williams WG, et al. Outcomes and associated risk factors for aortic valve replacement in 160 children: a competing-risks analysis. Circulation, 2005, 112(22): 3462-3469.
4. Chan V, Malas T, Lapierre H, et al. Reoperation of left heart valve bioprostheses according to age at implantation. Circulation, 2011, 124(11 Suppl): S75-S80.
5. Jaquiss RD. Bioprosthetic aortic valve replacement in the young: a cautionary tale. Circulation, 2014, 130(1): 7-9.
6. Goldstone AB, Chiu P, Baiocchi M, et al. Mechanical or biologic prostheses for aortic-valve and mitral-valve replacement. N Engl J Med, 2017, 377(19): 1847-1857.
7. Lababidi Z. Aortic balloon valvuloplasty. Am Heart J, 1983, 106(4 Pt 1): 751-752.
8. Lababidi Z, Wu JR, Walls JT. Percutaneous balloon aortic valvuloplasty: results in 23 patients. Am J Cardiol, 1984, 53(1): 194-197.
9. Pedra CA, Sidhu R, McCrindle BW, et al. Outcomes after balloon dilation of congenital aortic stenosis in children and adolescents. Cardiol Young, 2004, 14(3): 315-321.
10. Ross DN. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet, 1967, 2(7523): 956-958.
11. Elkins RC, Thompson DM, Lane MM, et al. Ross operation: 16-year experience. J Thorac Cardiovasc Surg, 2008, 136(3): 623-630.
12. Pasquali SK, Cohen MS, Shera D, et al. The relationship between neo-aortic root dilation, insufficiency, and reintervention following the Ross procedure in infants, children, and young adults. J Am Coll Cardiol, 2007, 49(17): 1806-1812.
13. Tan Tanny SP, Yong MS, d'Udekem Y, et al. Ross procedure in children: 17-year experience at a single institution. J Am Heart Assoc, 2013, 2(2): e000153.
14. Schneider AW, Putter H, Klautz RJM, et al. Long-term follow-up after the Ross procedure: a single center 22-year experience. Ann Thorac Surg, 2017, 103(6): 1976-1983.
15. David TE, Omran A, Ivanov J, et al. Dilation of the pulmonary autograft after the Ross procedure. J Thorac Cardiovasc Surg, 2000, 119(2): 210-220.
16. Siddiqui J, Brizard CP, Konstantinov IE, et al. Outcomes after operations for bicuspid aortic valve disease in the pediatric population. Ann Thorac Surg, 2013, 96(6): 2175-2183.
17. Al Halees Z, Al Shahid M, Al Sanei A, et al. Up to 16 years follow-up of aortic valve reconstruction with pericardium: a stentless readily available cheap valve? Eur J Cardiothorac Surg, 2005, 28(2): 200-205.
18. d'Udekem Y, Siddiqui J, Seaman CS, et al. Long-term results of a strategy of aortic valve repair in the pediatric population. J Thorac Cardiovasc Surg, 2013, 145(2): 461-467.
19. 金晶, 华正东, 曾祥军, 等. 单个主动脉瓣叶牛心包置换术治疗儿童室间隔缺损并主动脉瓣反流. 中国胸心血管外科临床杂志, 2014, 21(2): 216-219.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

主动脉瓣成形术治疗儿童主动脉瓣疾病 30 例

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