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題 名 | Pulmonary Valvular Stenosis Complicated by Cerebrovascular Accident and Congestive Heart Failure in a Young Child=幼童肺動脈瓣狹窄合併罕見腦血管病變與心臟衰竭 |
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作 者 | 朱原旦; 梁啟迪; 高常發; 黃嵩雀; 刁茂盟; | 書刊名 | 長庚醫學 |
卷 期 | 24:8 2001.08[民90.08] |
頁 次 | 頁517-521 |
分類號 | 417.62312 |
關鍵詞 | 肺動脈瓣狹窄; 腦血管病變; 心臟衰竭; 孩童; 氣球瓣膜成型術; Pulmonary valvular stenosis; Cerebrovascular accident; Heart failure; Pediatric; Balloon valvuloplasty; |
語 文 | 英文(English) |
英文摘要 | Pulmonary valvular stenosis (PS) with intact ventricular septum is a common congenital heart disease. In general, mild PS has a benign clinical course. However, in severe PS and some cases of moderate stenosis, increasing severity of the lesion may occur. The manifestations of either cerebrovascular accident (CVA) or congestive heart failure (CHF) are rarely reported in pediatric patients with PS. In this report, we describe a girl with severe PS complicated by seizures and sudden onset of hemiparesis at 13 months of age who developed CHF when 16 months old. CHF was cured after successful balloon valvuloplasty. She remained well without residual hemiparesis or recurrent seizures during the 1-year follow-up. Early balloon valvuloplasty should be emphasized in patients with severe PS, even if there are no significant clinical symptoms. With prompt balloon valvuloplasty, these complications can be effectively prevented. (Chang Gung Med J 2001;24:517-21) |
本系統中英文摘要資訊取自各篇刊載內容。