房间隔缺损封堵术的时间选择

房间隔缺损封堵术后早期即出现心脏正向重构,且这些变化的程度和时间不受患者接受封堵时的年龄影响。因此,在合适的无症状的缺损小的患者适当推迟经皮房间隔缺损封堵时间,可当其生长发育进一步完善至青少年期再行房间隔缺损封堵术可能是一个明智的选择。

Age and Selection Factors of Transcatheter Atrial Septal Defect Closure

Positive cardiac remodeling occurs after percutaneous closure of large atrial septal defect,irrespective of the magnitude and length of volume overload.Therefore,it could be suggested that in young patients the procedure be deferred until later in life when growth has ceased.This article proposes that deferring is the better option until there is more conclusive data about the long-term effects of atrial septal defect devices on the growing heart.