心房间隔缺损为常见的心脏先天性畸形,约占先天性心脏病的23%,女性多于男性,本病较多见于女性,女与男之比为2∶1到4∶1。由于胚胎期构成心房间隔的有关组织发育不全所形成。但有些人认为孕妇在妊娠三个月时患风疹或病毒感染,及用了某些药物(如反应停等)可导致胎儿发育不全,造成心房间隔缺损。
目的观察房间隔缺损(asd)经右心导管行封堵术后,右心房(RA)、右心室(RV)形态及功能的变化。
Objective To observe the shape and function changes of right atrium (ra) and right ventricle (rv) after closure ASD in transcatheter.
房间隔缺损不产生明显心脏杂音,因为心房之间压力差很小。
An atrial septal defect is unlikely to produce a loud murmur because of the minimal pressure differential between the atria.
结论:高龄本身并非老年房间隔缺损手术禁忌,老年患者通过封堵器或手术闭合房缺仍可以重构右心房、右心室,降低肺动脉压,显著改善心功能。
Closure of the ASD can still remodel the right atrium and ventricular, decrease the pulmonary artery pressure, and improve the cardiac function in the elderly patients.
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