B. Todurov, G. Kovtun, A. V. Khokhlov, O.V. Pantazi, A. Shpachuk, A. Melnik, A. O. Maksakov, A.S. Batsiun
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引用次数: 0
摘要
肥厚性梗阻性心肌病是一种相对常见的疾病,也是年轻人心脏性猝死的最常见原因之一。手术治疗这种病理的选择之一是隔肌切除术,这是几十年来的黄金标准。然而,尽管如此,手术治疗是针对术后并发症风险低的年轻患者,而伴有疾病和手术风险较高的患者需要替代治疗。目前,酒精室间隔消融术被认为是治疗左心室流出道梯度≥50 mm Hg的肥厚性梗阻性心肌病的一种有效的微创方法。本文介绍了57例左心室流出道梗阻患者使用酒精室间隔消融术的经验。关键词:酒精性室间隔消融,肥厚性心肌病,左室流出道梗阻。
The results of alcoholic septal ablation in the treatment of hypertrophic cardiomyopathy
Hypertrophic obstructive cardiomyopathy іs a relatively common condition and one of the most common causes of sudden cardiac death in young age. One of the options for the surgical treatment of this pathology is septal myoectomy, which has been the gold standard for decades. However, despite this, surgical treatment is intended for young patients with a low risk of postoperative complications, while patients with concomitant diseases and a higher surgical risk require alternative treatment. Today, alcohol septal ablation is considered an effective, minimally invasive method for treating hypertrophic obstructive cardiomyopathy in patients with a left ventricular outflow tract gradient ≥ 50 mm Hg. The article presents the experience of using alcohol septal ablation in 57 patients with obstruction of the left ventricular outflow tract. Key words: alcoholic septal ablation, hypertrophic cardiomyopathy, left ventricular outflow tract obstruction.