巨大左心房患者的经皮二尖瓣球囊成形术

本文介绍了13例巨大左心房患者的经皮二尖瓣球囊成形术(PBMV).认为手术成功的关键是房间隔穿刺,但已不能采用常规的方法.作者探索了正中法、右侧法和左侧法,并认为右侧法最好.巨大左心房者常为风湿性心脏病二尖瓣严重狭窄的晚期表现,病情重,合并症多,全身情况差,无法耐受开胸手术,而一般内科治疗效果不好.虽然PBMV也有一定风险,但可能是目前唯一较好的治疗方法.本组病例效果令人满意.

Percutaneous Balloon Mitral Valvuloplasty ( PBMV) in patients with Large Left Atrium

The key procedure of PBMV is atrial septum acupunctuure. After PBMV in 13 Patients With large a-trium, my experience is that accepted atrial septum acupuncture should not be used in those patients. The Left pathway, middle pathway, right pathway culd be taken in PBMV, especially the right pathway. Large a-trium usually is the late complication of the severe mi-tral stenosis of rheumatic valve disease. The patients with large atrium could not endure chest operation be-cause of severe symptom,many a few complications and bad contion. Treat-ment with medicine could not help much,either. Though in the patients with large left atri-al is dangerous, It might be the only benificial way to treat them our result is satis-fied.