二叶式主动脉瓣的超声心动图评估现状及进展  

Current Situation and Progress of Echocardiography in Evaluation of Bicuspid Aortic Valve

作　　者：王代娇 宋宏宁[1] 陈金玲[1] WANG Daijiao;SONG Hongning;CHEN Jinling(Department of Ultrasound,Renmin Hospital of Wuhan University,Wuhan 430060,Hubei,China)

机构地区：[1]武汉大学人民医院超声影像科,湖北武汉430060

出　　处：《心血管病学进展》2023年第10期897-900,共4页Advances in Cardiovascular Diseases

基　　金：国家自然科学基金青年科学基金(82102046)。

摘　　要：二叶式主动脉瓣(BAV)是一种先天性心脏瓣膜疾病,大多数早期常无明显症状,难以及时被诊断和干预,晚期易并发主动脉瓣狭窄或反流等瓣膜功能障碍,甚至导致主动脉病变。因此,早期准确评估BAV形态及功能从而对其进行及时有效干预是临床诊治的重点。且随着经导管主动脉瓣植入术在BAV中应用增加,充分评估其主动脉根部结构对指导手术及术后评估尤为重要。现综述超声心动图在BAV患者评估中的应用,以期为BAV的早期筛查、诊断、手术时机的选择及术后随访提供依据。Bicuspid aortic valve(BAV)is a congenital heart valvular disease.In the early stage,most patients often have no obvious symptoms,so it is difficult to make diagnosis and intervention timely.And in the late stage,it is easy to be complicated with valvular dysfunction such as aortic stenosis or regurgitation,and even lead to aortic disease.Therefore,it is very important to assess the BAV morphology or function early and accurately for effectively intervention,which is the key point of clinical diagnosis and treatment.With the increasing application of transcatheter aortic valve implantation in patients with BAV,it is particularly important to fully evaluate the structure of aortic root for operation guidance and postoperative evaluation.This article reviews the application of echocardiography for patients with BAV,in order to provide basis for early screening,diagnosis,operation and postoperative follow-up of BAV.

关 键 词：主动脉瓣畸形 二叶式主动脉瓣 超声心动图 

分 类 号：R540.45[医药卫生—心血管疾病] R542.5[医药卫生—内科学]