中国实用儿科杂志2017，Vol.32Issue(5)：357-360,4.DOI:10.19538/j.ek2017050610
室间隔缺损介入术后完全性左束支传导阻滞9例分析
Analysis of 9 cases of complete left bundle branch block after interventional treatment for ventricular septal defect
曹黎明 1王凤鸣 1秦玉明 1杨世伟 1陈金龙 1庄思斯 1朱善良2
作者信息
- 1. 南京医科大学附属儿童医院心血管内科,江苏南京210008
- 2. 南京医科大学附属儿童医院超声科,江苏南京210008
- 折叠
摘要
Abstract
Objective To investigate the risk factors and prognosis of CLBBB complicated with VSD after interventional therapy.Methods The general data and follow-up results of 9 cases of complete left bundle branch block (CLBBB) after interventional treatment for ventricular septal defect (VSD) were reviewed from April 2010 to December 2015 in our hospital heart center.The age of children,type of VSD and occluder,the occurrence time and prognosis of postoperative CLBBB and the change of LVEDD and LVEF were analyzed.Results Age:1 case ＞ 5 years and 8 cases ＜ 5 years;VSD and occluder type:perimembranous VSD with pseudo aneurysm in 3 cases and intracristal VSD in 6 cases;there was 1 case of symmetry occluder,2 cases of small waist big edge type occluder,and 6 cases of eccentric type occluder.Postoperative CLBBB occurrence time and prognosis:CLBBB occurred in postoperative 3 days in 8 cases,including 4 cases recovered to normal after drug treatment and 2 cases again had CLBBB in postoperative 1 month;1 case began to appear CLBBB in postoperative 1 month and returned to normal after receiving surgery the next day.Left ventricle enddiastolic dimension (LVEDD) and ejection fraction of LV (LVEF) changes:2 cases had increased LVEDD in 6 and 12 months after operation,respectively;the other 7 cases did not have obvious LVEDD increase;all the 9 cases did not have decreased LVEF.Conclusion VSD interventional therapy should strictly follow the expert consensus and standardized operation;VSD interventional occlusion therapy for young children (＜ 5 yrs) should be cautious;in the premise of ensuring the occlusion effect of interventional therapy,the symmetric type occluder should be selected first.CLBBB complicated with VSD after interventional therapy has a good recent prognosis,but in some cases the long-term LVEDD increases;CLBBB complicated with VSD after interventional therapy cases should be strictly followed up.关键词
室间隔缺损/介入治疗/完全性左束支传导阻滞/儿童Key words
ventricular septal defect/interventional therapy/complete left bundle branch block/child分类
医药卫生引用本文复制引用
曹黎明,王凤鸣,秦玉明,杨世伟,陈金龙,庄思斯,朱善良..室间隔缺损介入术后完全性左束支传导阻滞9例分析[J].中国实用儿科杂志,2017,32(5):357-360,4.
