摘要
27例住院治疗的先天性二叶主动脉瓣(CBAV)临床分析,结果显示:合并心功能不全21例(78%),合并感染性心内膜炎(IE)12例(44%),与其它心血管畸形并存7例(26%).IE为CBAV的主要死亡原因.本文认为,并发IE或存在明显血流动力学障碍时外科换瓣术为CBAV治疗的根本措施,结果还提示,CBAV一旦心功能失代偿发展迅速,准确掌握外科治疗指征及尽早手术至关重要.
Twenty—seven hospitalized patients with Congenital bicus-pid aortic valve (CBAV) were assessed retrospectively. The result showed that 78%(21/27) of patients Were complicated with heart failureand 44%(12/27) within fective endocarditis (IE) and CBAV Coexisted other cardiovascular defor -mities in 26%(7/27) of patients. It seems that IE Was the main cause of death. We conclude that surgical valvere placement is the radical management when there is IE or an obvious blood dynamics ob-stacle. The result also indicated that if heart failure of patients eith CBAV quicky developed, accurately nobicing the indication of surgical treatment and operationasearlyaspossible,isofcriticalsignificance.
关键词
先天性
主动脉瓣畸形
临床分析
Congenital bicuspid aortic value infectiue endocarditis
Vawe replacement
