鲁登巴赫综合征12例外科治疗

Surgical treatment of Lutembacher's syndrome:a report of 12 cases

目的总结分析鲁登巴赫综合征的手术治疗经验。方法回顾性分析2002~2009年手术治疗的12例鲁登巴赫综合征患者临床资料,其中行二尖瓣机械瓣置换术10例,二尖瓣成形2例,房缺直接缝合4例,补片修补8例,同期行三尖瓣Devega成形术6例,左心耳结扎3例。结果围手术期无死亡,均未出现严重并发症,心功能明显改善。结论鲁登巴赫综合征应尽早手术治疗,正确选择处理二尖瓣病变的手术方式,加强围手术期处理,术后积极改善肺动脉高压,保护左室功能是手术成功的关键。

Aim To discuss the experience of surgical treatment of Lutembacher＇s syndrome.Methods Data of 12 cases of Lutembacher＇s syndrome who underwent surgical treatment from 2002 to 2009 were analyzed.The mitral valve replacement was performed in 10 cases.And the mitral valvuloplasty was performed in the other 2 cases.The atrial septal defects were closed direct suture in 4 cases and auto pericardium patch in 8 cases.The tricuspid valvuloplasty was underwent in 6 cases and left atrial appendage ligation in 3 cases simultaneously.Results No death occured in all cases.No severe complications related to the operation occurred.Conclusion Lutembacher＇s syndrome needs early surgical intervention.The success of operation is closely related to the mitralprocedure,treatment of perioperative period.The appropriate post-operative management of pulmonary hypertension and left ventricular function may acquire satisfactory effect.