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目的初步探讨经胸超声心动图(TTE)在经皮左室重建术(PVR)中的应用价值。方法陈旧性前壁心肌梗死患者5例,经TTE检查并结合病史筛选进行PVR术,TTE监测封堵术并于术后进行复查。结果经过术前TEE筛选及患者意愿,3例患者入选成功进行Parachute经皮左室重建术,术前TTE评价左心室及瓣膜情况,术中指引导管将隔离装置放至心尖部,术后即刻评价疗效,并探查心包除外的并发症。结论 TTE在PVR术中可发挥其他影像学无法替代的重要作用。
Objective To investigate the clinical value of transthoracic echocardiography (TTE) in percutaneous left ventricular remodeling (PVR). Methods Five patients with obsolete anterior myocardial infarction were examined by TTE and combined with history screening for PVR and TTE occlusion. The patients were reviewed after operation. Results After preoperative TEE screening and patients’ wishes, 3 patients were enrolled in Parachute percutaneous left ventricular reconstruction. Preoperative TTE was used to evaluate left ventricular and valvular conditions. During operation, the guide catheter was used to place the isolation device on the apex, and immediate postoperative evaluation Efficacy, and exploration of complications other than pericardium. Conclusion TTE can play an important role in PVR surgery that other imaging can not replace.