房间隔缺损课件_4.pptVIP

* * * * * * * * Pathological anatomy of Atrial septal defect II and occlusion therapy New words anatomy[??n?t?mi]解剖 cclusion[?klu:?n]封堵 therapy[?θer?pi] Venae [vi:ni:]静脉 cava [kɑ:v?] 腔隙 superior[su:?p??ri?(r)] posterosuperior [p??st?r??su:pr??r] 后上 Ostium[?st??m] secundum [s?k?nd?m]继发孔型 Types by location，5 category [?k?t?g?ri] 1.Venae [vi:ni:] cava [kɑ:v?] superior[su:?p??ri?(r)] type: In other words, Sinus [?sa?n?s] venosus[vi:?n??s?s] ASD: 4%-15%, located in posterosuperior [p??st?r??su:pr??r] of the atrial septum and foramen [f??re?m?n] ovale[??ve?l]. No upper bound. Close to the superior vena cava entrance. 2.Central type ASD: Ostium[?st??m] secundum [s?k?nd?m] ASD, the real atrial septal defect II. About 70%-75%. It is the most common. Often in the fossae [f?si:] ovalis[??v?l?s] . Diameter [da???m?t?(r)] about 15-30mm. circular or oval, atrial septum around the defect are complete. Relating [r?le?t??] to the absence or deformity [d??f?:m?ti] of the oval valve, unlike PFO. 3.Type Inferior vena [vi:n?] cava[?kɑ:v?] About 7-12%, usually bigger one. located in posteroinferior[p??st?r??nf??r??r] of the atrial septum and foramen [f??reimen] ovale [??ve?l] . Close to the superior vena cava entrance. Most of them are connected to the inferior vena cava. 4.Mixed type: Including two or more than two types of ASD combination of the three. Usually bigger one. Occuping most of the atrial septal defect. Very few residual [r??z?dju?l] atrial septum. Even the whole Atrial septal defect, like functional single atrium. 5.Coronary sinus [?sa?n?s] type Aslo means unroofed coronary sinus syndrome. conclusion: Central type ASD are most common. 1.Age, usually more than 3 years old 2.The diameter is greater than or equal to 5 mm and less than 36mm with the increase of right ventricular volume overload. 3.The distance of defect edge to the coronary sinus, superior and inferior vena cava [?vi:n? ?ke?v?] and pulmonary vein are greater