Clinical Study of 147 Cases with Ventricular Septal Defect and Aortic Valve Insufficiency in Children
李渝芬
李江林
王树水
庄建
陈欣欣
1.Guangdong Cardiovascular Institute, Guangzhou 510100, P R China2.Guangdong Cardiovascular Institute, Guangzhou 510100, P R China3.Guangdong Cardiovascular Institute, Guangzhou 510100, P R China4.Guangdong Cardiovascular Institute, Guangzhou 510100, P R China5.Guangdong Cardiovascular Institute, Guangzhou 510100, P R China
摘要：Objectives To introduce our experience in treatment of ventricular septal defects with aortic valve insufficiency. Methods A total of 147 cases was involved in a nine-year retrospective study. Age ranged from 5 months to 15 years (mean,7.60 ± 4.12 years). All had been diagnosed by thorough history, physical examinations, chest roentgenogram, two-dimensional echocardiogram.Some 103 patients had taken catheterization and angiocardiography. 91 (61.9%) cases underwent the procedure of VSD closure, 31 (21.08%) had aortic valvuloplasty simultaneously, and 25 (17.02%) were performed VSD closure plus aortic valve replacement.Results Among the 147 patients, 137 (93.19%) have fully recovered, 6 (4.08%) improved, and 4 patients died (2.73%). Conclusions As soon as being diagnosed as subarterial VSD, surgical intervention should be recommended at an early date. The cases of perimembranous VSD also need close follow-up. Once AI occurs, operations should be taken in time. The cases without AI ought to accept treatment during school age.
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分类号：R5(内科学)
论文发表日期：2004-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：3( 11-12,37 )
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