Hybrid procedure in treating infants and children with pulmonary stenosis under echocardiographic guidance

VernacularTitle:"超声心动图监测引导""杂交""手术治疗婴幼儿肺动脉瓣狭窄"
Author: Ye LU ; Xiuzhang Lü ; Jianpeng WANG ; Zhenhui ZHU ; Yongqing LI ; Kunjing PANG ; Shoujun LI ; Jun YAN ; Zhongdong HUA
Publication Type:Journal Article
Keywords: Echocardiography; Pulmonary valve stenosis; Infant
From: Chinese Journal of Ultrasonography 2011;20(7):575-577
CountryChina
Language:Chinese
Abstract: Objective To evaluate the results of hybrid procedure in treating infants and children with severe pulmonary stenosis (PS) and the clinic value of echocardiography in the whole procedure.Methods Hybrid therapy was performed in 43 patients [(7.1±6.8)months,ranging 5 days to 33 months] with severe PS.The echocardiography data in the whole procedure and follow up were reviewed.Results Aided by echocardiography,the hybrid therapy was successful in 43 cases without major complication.Immediately following valvuloplasty,the gradient across pulmonary valve decreased from (92.5±21.4)mm Hg to (23.6±13.0)mm Hg (P<0.05).The growth and development of 27 patients in follow-up study was well.No restenosis was found and tricuspid regurgitation decreased differently.Conclusions Hybrid procedure is effective and safe for the treatment of infants and children with severe PS.And echocardiography play an important role in the whole procedure.