Heart valve disease with giant left ventricle of the efficacy of surgical treatment of.docVIP

 PAGE \* MERGEFORMAT 2 Heart valve disease with giant left ventricle of the efficacy of surgical treatment of Author: Qin Jun-an, Huang Xiaolong, Wu Xilin, Lin Xiaogang [Keywords:] Heart valve diseases; hypertrophy, left ventricular; heart valve prosthesis implantation 0 INTRODUCTION giant left in severe heart valve disease, one of the diagnostic criteria, but also affect the cardiac valve surgery near an important factor in long-term efficacy [1], since 2003  02/2006  02, I left hospital in 68 patients with giant ventricle in patients with a heart valve replacement surgery, and obtained good clinical effects. An object and method 1.1 The target this group of patients 68 (male 30, female 38) patients, aged 30 to 69 years. Of which 45 cases of rheumatic heart disease, degenerative valvular heart disease in 23 cases. Valvular regurgitation are the main lesions. Preoperative cardiac function 33 cases of grade Ⅱ ~ Ⅲ , Ⅳ grade 35 cases; combined with 20 cases of liver dysfunction, renal insufficiency in 15 cases, 3 cases of diabetes, hypertension and 5 cases, 39 cases of atrial fibrillation, left ventricular hypertrophy in 28 cases. 1.2 Methods are in general anesthesia in patients with cardiopulmonary bypass, moderate, low temperature operation. To take the chest incision, the establishment of cardiopulmonary bypass, the aorta, since the active root perfusion Han Xue cardioplegic solution, stained myocardial protection. Surgery pure mitral valve replacement (MVR) 20 cases of simple aortic valve replacement (AVR) 17 Li. mitral valve, aortic valve replacement pairs (DVR) 10 Li, DVR tricuspid valve plasty (TVP ) 11 patients, MVR TVP 5 Li, AVR TVP 5 Li. OK over the same period 11 cases of left atrial plication. preoperative and postoperative use of Doppler echocardiography (UCG) test the heart of various indicators, including preoperative and postoperative 2 wk, and 3,6,12,24 mo left ventricular end-diastolic diameter (LVEDD), left ventricular end systolic