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Changes of the cardiac morphology and size after transcatheter closure of atrial septal defect

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Author:
No author available
Journal Title:
JOURNAL OF CHINESE PHYSICIAN
Issue:
11
DOI:
10.3760/cma.j.issn.1008-1372.2006.11.001
Key Word:
房间隔缺损/外科学;心脏导管插入术;心脏/病理生理学;超声心动描记术;手术后期间

Abstract: 目的 评价房间隔缺损(ASD)患者经导管ASD封堵术后及随访中心脏形态和大小的变化.方法 应用超声心动图分别测量36例ASD患者经导管ASD封堵治疗术前、术后3 d、术后3月和术后6月右室舒张末期前后径(RVEDD)、右房长径(RAD1)右房横径(RADt)、左室舒张末期前后径(LVEDD)、左室舒张末期容积(LVEDV)和左房前后径(LAD).结果 ASD封堵术后3 d及术后3月,RVEDD、RAD1、RADt逐渐缩小;LVEDD、LVEDV和LAD逐渐增大.术后6月随访时,RVEDD继续缩小,LVEDD和LVEDV继续增大,RAD1、RADt和LAD无进一步变化.结论 ASD封堵术治疗既减轻了右心容量负荷,使右房、右室内径缩小,也改善了左心的几何构型,使已经缩小的左房、左室逐渐增大恢复.

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