Abstract: in general, valvular heart disease is caused by rheumatic fever.Valvular heart disease is due to a single cause inflammation, muco
Abstract: in general, valvular heart disease is caused by rheumatic fever.
Valvular heart disease is due to a single cause inflammation, mucoid degeneration, degenerative changes, congenital malformation, trauma, ischemic necrosis and other reasons or a plurality of valve structure (including leaflets, annulus, papillary muscle or tendon for) functional or structural abnormalities, leading to valvular stenosis and (or) insufficiency. Rheumatic heart disease is usually caused by rheumatic fever and is usually treated. At present, the treatment of valvular heart disease includes: general treatment, surgical treatment and postoperative complications.
1, the general medical treatment of heart valve disease:
Limit physical activity;
Prevention of upper respiratory tract infection and infective endocarditis in the extraction, preoperative and postoperative antibiotic 2-3 days.
Check the wind damp heat, if there should be anti rheumatic treatment.
2, the treatment of complications of heart valve disease:
The atrial fibrillation and flutter, cardioversion.
The embolism, vasodilator drugs + anticoagulant therapy.
3, interventional treatment of valvular heart disease:
Percutaneous balloon dilatation angioplasty; for pure mitral stenosis, moderate stenosis, mitral valve area 0.8-1.2cm2, without obvious regurgitation, atrial fibrillation and no thrombosis; it is a balloon catheter to valvular stenosis by blood vessels, successive full airbag expansion valve. The advantage of this method is to export expansion valve without surgery, but it is blindness, it applies only to pure valvular stenosis or valvular injury is not serious, no intra atrial thrombosis patients.
4, surgical treatment of heart valve disease, minimally invasive surgery:
Mitral valve separation, indications ibid.
Valve replacement, which is suitable for patients with valvular disease combined with mitral regurgitation, mitral valve calcification and infundibular stenosis. The treatment of valvular heart disease in patients with severe valvular injury and not being able to undergo valve repair is to remove the original valve and replace the bioprosthetic valve or mechanical valve. All patients with video-assisted thoracoscopic surgery can be treated with minimally invasive thoracoscopic surgery.