心室中隔缺損併發主動脈閉鎖不全一病例報告

Ventricular Septal Defect and Aortic Insufficiency-A Case Report

陳遠浩(Yuan-Hao Chen) ； 賴聰煌(Chung-Hoang Lai) ； 趙治中(Chih-Chung Chao) ； 方晃(Hoang Fang)

《Acta Paediatrica Sinica》 20卷2期 (1979/06) Pp. 110-114

摘要

心室中隔缺損併發主動脈閉鎖不全之一病例，由臨床學上的特徵，以及逆行性的主動脈及左心室造影術證實，並經外科手術矯治者。著者又就有關此類之病症作一簡單之回顧和討論。

並列摘要

There was one case of VSD and AT encountered in the Triservice General Hospital from 1976-1978. The clinical manifestations were characterized by audible VSD murmur and early diastolic murmur over the left sternal border. It had been confirmed by angiocardiography. After surgical correction the patient's condition got improvement sucessfully. The major purpose of this report is to emphasize that VSD complicated with AT varies from 2-5% in many literatures report. Recent surgical procedures have given encouraging results, and with the known poor medical prognosis and high incidence of infection, even progressive development of left ventricular failure, we now feel that surgery should be offered to these patients on first diagnosis. In general, in mild Al, especially if the VSD is subpulmonic, a VSD closure alone may be sufficient. In patients who have moderate of severe incompetence, valvuloplasty is done first; aortic valve replacement is left for those patients with severe aortic insufficiency in whom the VSD has been closed and valvuloplasty has been ineffective.

並列關鍵字

interventricular septal defect ； aortic insufficiency ； angiocardiography ； left ventricular failure