常见先天性心脏病介入治疗中国专家共识 五、先天性心脏病复合畸形的介入治疗

Interventional treatment of common congenital heart diseases: the common view of Chinese medical experts.Part Five-Transcatheter intervention for the treatment of compound congenital cardiac anomalies

先天性心脏复合畸形为同时患有2种或2种以上心血管畸形,能够同期进行介入治疗,其技术操作并非单一技术的简单相加,而有其特殊性。本文介绍室间隔缺损合并房间隔缺损、动脉导管未闭、肺动脉瓣狭窄;房间隔缺损合并动脉导管未闭、肺动脉瓣狭窄、左房室瓣狭窄(鲁登巴赫综合征)及主动脉缩窄合并动脉导管未闭等复合畸形的病理生理改变与临床特点、介入治疗适应证和禁忌证、治疗原则和注意事项、术后处理以及疗效判定等。

Compound congenital cardiac anomalies refer to two or more congenital cardiovascular defects coexisting in the same patient.Transcatheter intervention for compound congenital cardiac anomalies has got satisfactory results in recent years.However,the percutaneous closure procedure used for compound congenital cardiac defects does not mean the simple addition of single interventional technique.Clinically,it needs more specialist expertise to deal with such complex defects.This chapter will briefly describe the pathophysiology and clinical features of the following compound congenital cardiac anomalies： the ventricular septal defect（VSD） with coexistence of atrial septal defect（ASD）,patent ductus arteriosus（PDA） or pulmonary valve stenosis（PS）,the ASD with coexistence of PDA,PS or mitral stenosis（Lutembacher＇s syndrome）,and coarctation of aorta compound with PDA.The indications and contraindications,the therapeutic principles,the matters needing attention,the postoperative management,the judgment of curative effect,etc.of using transcatheter intervention for the treatment of such compound anomalies will also be discussed.