先天性二叶式主动脉瓣17例临床分析

CONGENITAL BICUSPID AORTIC VALVE——A CLINICAL ANALYSIS OF 17 CASES

本文通过对17例先天性二叶式主动脉瓣(CBAV)病例的临床分析,发现29.4％的CBAV合并其他心脏畸形,可能是一种常见的复杂性先天性心脏畸形。我们的结果表明:①二维超声心动图是诊断CBAV的一种无创性检查方法,其诊断正确率高达85.7％;②感染性心内膜炎和钙化性主动脉瓣狭窄是CBAV的主要并发症,并认为感染性心内膜炎是我国CBAV病人进行主动脉瓣置换术的主要指征。

A clinical analysis of 17 congenital bicuspid aortic valve (OBAV) cases discovered 29.4% OBAV with other cardiac malformation. OBAV may be a common complex congenital cardiac malformation. Our data showed (1) two-dimensional diagnosis of OBAV agree with 85.7% of surgery and pathology; (2) Both infective endocarditis and calcine-------aortic valve stenosis are primary complications of OBAV and infective endocarditis constitute a major indication for aortic valve replacement operation