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首页> 外文期刊>Pediatric Cardiology >Regression of Cardiac Enzyme and Ventriculocoronary Communication in an Infant with Pulmonary Atresia and Intact Ventricular Septum after Radiofrequency Valvulotomy and Valvuloplasty
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Regression of Cardiac Enzyme and Ventriculocoronary Communication in an Infant with Pulmonary Atresia and Intact Ventricular Septum after Radiofrequency Valvulotomy and Valvuloplasty

机译：射频瓣膜切开术和瓣膜成形术合并肺动脉闭锁和完整室间隔的婴幼儿心脏酶和心室冠脉通讯的消退

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I report on a 3-month-old infant with pulmonary atresia–intact ventricular septum and ventriculocoronary communication (VCC) who underwent percutaneous radiofrequency valvulotomy and valvuloplasty (RFVV). The patient’s cardiac troponin-I, creatine kinase (CK), and myocardial fraction of (CK-MB) were elevated before RFVV and were gradually regressed to normal levels 12 days after RFVV. The VCC disappeared after RFVV. The transvalvular pressure gradients across the pulmonary valve were less than 30 mmHg in the follow-up echocardiography at 4–12 months of age. Oxygen saturation was approximately 90% in room air. Dipyridamole–thallium myocardial scintigraphy showed positive reperfusion over the apex and interventricular septum.
机译：我报告了一个3个月大的婴儿，该婴儿经历了经皮射频瓣膜切开术和瓣膜成形术（RFVV），具有完整的肺动脉闭锁和心室室间隔沟通（VCC）。患者的心肌肌钙蛋白I，肌酸激酶（CK）和心肌分数（CK-MB）在RFVV前升高，并在RFVV 12天后逐渐恢复到正常水平。 RFVV之后，VCC消失了。随访超声心动图检查在4-12个月大时，跨肺动脉瓣的跨瓣压力梯度小于30 mmHg。室内空气中的氧饱和度约为90％。双嘧达莫-th心肌闪烁显像显示对心尖和心室间隔的再灌注阳性。

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