摘要
为评价心导管及心血管造影检查对小儿主动脉狭窄的诊断价值,应用左右心导管检测心室和大血管压力及血氧饱和度,左、右室及升主动脉造影显示狭窄部位和合并畸形,并以造影与超声心动图检查作比较。结果:主动脉瓣上狭窄25例,8例伴有外周体循环动脉狭窄,16例伴有外周肺动脉狭窄,3例存在冠状动脉病变;主动脉瓣狭窄43例,18例单纯主动脉瓣狭窄行球囊瓣膜成形术;主动脉瓣下狭窄48例,46例合并其他先天性心脏病,仅2例为单纯主动脉瓣下狭窄。说明先天性主动脉瓣上及瓣膜狭窄时心导管及心血管造影仍很有必要,单纯主动脉瓣下狭窄,可不必作心导管和心血管造影。
To evaluate the clinical significance of angiocardiography and cardiac catheterization for the diagnosis of congenital aortic stenosis in children,the angiocardiograms and the results of cardiac catheterization were reviewed in 116 children with congenital aortic stenosis diagnosed during 1985-1997. The results showed that: ①25 cases were with supravalvu-lar aortic stenosis, in which there were 16 with peripheral pulmonary stenosis, 8 with brachiocephalic vessel stenosis and 3 with coronary artery stenosis. ②43 cases were with valvular aortic stenosis, among them, successful balloon angioplasty were performed on 18 cases. ③48 cases with subvalvular aortic stenosis, in which there were 46 cases with other congenital cardiac malformations. It is concluded that it is still valuable to diagnose supravalvular and valvular aortic stenosis by angiocardiography and cardiac catheterization that will be not required only for the diagnosis of simple subvalvular aortic stenosis.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2000年第6期358-359,共2页
Journal of Clinical Pediatrics
关键词
先天性主动脉狭窄
心血管造影
心导管术
congenital aortic stenosis angiocardiography cardiac catheterization
