病人女,43岁。因房缺修补术后5年,反复下肢浮肿、腹胀、乏力不适2年入院。5年前因房缺并重度肺动脉高压 (90mmHg)行房缺修补术,术前存在活动困难、活动后紫绀;术后症状未缓解,随访超声心动图示肺动脉压逐渐升高。2年前出现下肢肿、活动困难,长期应用大剂量利尿剂和多巴胺效果不佳。于2003年6月入我院,查体:颈静脉怒张,听诊剑突下及 SM Ⅲ级,肝脏肋下3cm,双下肢水肿,四肢稍湿冷。氧饱和度(静息):90%;胸部 X 片:心影增大,
Aims To assess effects of the septal anterior ventricular exclusion(SAVE)procedure on left ventricular(LV) shape,volume and function in patients with post-infarction LV anterior aneurysm. Methods and results Forty pat...
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Aims To assess effects of the septal anterior ventricular exclusion(SAVE)procedure on left ventricular(LV) shape,volume and function in patients with post-infarction LV anterior aneurysm. Methods and results Forty patients with LV anterior aneurysm were randomized to SVR with the SAVE procedure (SAVE group)and the Dor procedure(Dor group).Two-dimensional echocardiography(2DE)was performed at
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