心腔内超声指导下经皮二尖瓣球囊成形术2例  

Percutaneous balloon mitral valvuloplasty guided by intracardiac echocardiography:a report of two cases

作　　者：李德剑 陈松 徐超 姜雪 王波 冯建飞 宋东邦 张国辉 王明权 王伟民 张大东 LI De-jian;CHEN Song;XU Chao;JIANG Xue;WANG Bo;FENG Jian-fei;SONG Dong-bang;ZHANG Guo-hui;WANG Ming-quan;WANG Wei-min;ZHANG Da-dong(Department of Cardiology,Wuxi Mingci Hospital,Wuxi 214000,China)

机构地区：[1]无锡明慈心血管病医院心内科,江苏无锡214000

出　　处：《中国介入心脏病学杂志》2024年第5期295-297,共3页Chinese Journal of Interventional Cardiology

摘　　要：过去30年间,经皮二尖瓣球囊成形术在X线和床旁超声指导下完成。但仍有部分大心房的二尖瓣狭窄患者行球囊扩张失败。心腔内超声指导下经皮二尖瓣球囊成形术精准可行,可减少并发症的发生,提高该类高龄复杂病例的成功率。本病例报道2例重度二尖瓣狭窄患者,经心腔内超声引导行经皮二尖瓣球囊成形术,手术成功,未发生相关并发症,为临床治疗二尖瓣狭窄提供一定的参考。For the past 30 years,percutaneous balloon mitral valve dilatation has been performed under the guidance of X-rays and bedside ultrasound.However,there are still some cases of mitral valve stenosis in the large atrium where balloon dilation failed.Intraperitoneal ultrasound-guided percutaneous balloon mitral valve plasty is accurate and feasible,which can reduce the occurrence of complications and improve the success rate of such elderly complex cases.Two patients with severe mitral stenosis underwent percutaneous balloon mitral valve plasty guided by intracardiac ultrasound.The operations were successful without any complications,which can provide reference for clinical treatment of mitral stenosis.

关 键 词：风湿性心脏病 二尖瓣狭窄 心腔内超声 经皮二尖瓣球囊成形术 

分 类 号：R54[医药卫生—心血管疾病]