摘要
目的观察经导管封堵方法治疗主动脉（瓦氏）窦瘤破裂的临床疗效和安全性。方法选择2007年5月-2012年6月5例行主动脉窦瘤破裂经导管介入治疗患者。主动脉根部造影及超声心动图检查见5例均为单个窦瘤，其中3例右冠窦主动脉窦瘤破裂入右心室，2例无冠窦主动脉窦瘤破裂入右心房。结果5例患者均成功地放置封堵器，应用动脉导管未闭封堵器2个，室间隔缺损封堵器3个。5例患者封堵术后均实施超声心动图跟踪随访12。60个月，平均30．2个月，所有患者心脏内径均有不同程度减小，术后心脏杂音消失，封堵器位置正常，无分流束血流信号及邻近心脏组织结构受累。结论经导管封堵方法治疗主动脉窦瘤破裂是一种微创、安全、有效、简便的治疗方法，其近期疗效满意．远期效果尚须长时间随访。
Objective To discuss the clinical effects and safety of transcatheter closure in treating ruptured sinus of valsalva aneurysm （RSVA）. Methods During the period from May 2007 to June 2012, 5 patients （4 males and 1 female） with RSVA were treated with interventional occlusion therapy at authors＇ hospital. The aortic root angiography and echocardiography indicated that all the five patients had single sinus of valsalva aneurysm, including rupture of right coronary sinus of valsalva aneurysm into the right ventricle （n = 3） and into the right atrium （n = 2）. Results The occluder placement was successfully accomplished in all the 5 patients. Patent arterial duct occluder was employed in two patients, while ventricular septal defect occluder was adopted in three patients. After the procedure, the five patients were followed up for 12 - 60 months（mean 30.2 months）, and echocardiography and electrocardiography were conducted to evaluate the clinical effects. After the interventional occlusion therapy, in all patients the inner-diameters of the right ventricular and right atrium were markedly reduced, and the heart murmur disappeared. The occluder was situated in the right place. No complications such as hemolysis or aortic regurgitation occurred. Conclusion Transcatheter closure is a mini-invasive, safe, simple and effective technique for the treatment of ruptured sinus of valsalva aneurysm. The short-term result is satisfactory, although its long-term efficacy needs to be further studied.
出处
《介入放射学杂志》
CSCD
北大核心
2014年第3期203-205,共3页
Journal of Interventional Radiology
关键词
主动脉窦瘤
心脏导管检查
介入封堵治疗
ruptured aneurysm of valsalva sinus
cardiac catheterization
interventional occlusion therapy
