卵圓孔未閉封堵術(shù)爭論和發(fā)展課件

卵圓孔未閉封堵術(shù):爭論與發(fā)展May9,2009AndrewD.Michaels,MD,MAS,FACC,FAHADirector,CardiacCatheterizationLaboratoryandInterventionalCardiologyUniversityofUtah,SaltLakeCity,Utah卵圓孔未閉封堵術(shù):爭論與發(fā)展1胎兒循環(huán)胎兒期,氧合血液由臍靜脈經(jīng)下腔靜脈進(jìn)入右房RA血流由下腔靜脈經(jīng)過Eustachian瓣流到卵圓窩ICV胎兒循環(huán)2出生后房間隔發(fā)育宮內(nèi)atrium出生后卡septumRightPFOtunnel人Hagen,Scholz.MayoClinProc1984:59:17-20出生后房間隔發(fā)育3SinusVenosusASDASD1°ASDFG.291.Dtcrepresentationofcommonatrialseptaldcfects,ASD,atrimFylerDC,edNadfaspediatriccargy.Philadelphia:HanleyBelfus,1992,withpermissionSinus4卵圓孔未閉封堵術(shù)爭論和發(fā)展課件5卵圓孔未閉封堵術(shù)爭論和發(fā)展課件6卵圓孔未閉封堵術(shù)爭論和發(fā)展課件7卵圓孔未閉封堵術(shù)爭論和發(fā)展課件8卵圓孔未閉封堵術(shù)爭論和發(fā)展課件9卵圓孔未閉封堵術(shù)爭論和發(fā)展課件10卵圓孔未閉封堵術(shù)爭論和發(fā)展課件11卵圓孔未閉封堵術(shù)爭論和發(fā)展課件12卵圓孔未閉封堵術(shù)爭論和發(fā)展課件13卵圓孔未閉封堵術(shù)爭論和發(fā)展課件14卵圓孔未閉封堵術(shù)爭論和發(fā)展課件15卵圓孔未閉封堵術(shù)爭論和發(fā)展課件16卵圓孔未閉封堵術(shù)爭論和發(fā)展課件17卵圓孔未閉封堵術(shù)爭論和發(fā)展課件18卵圓孔未閉封堵術(shù)爭論和發(fā)展課件19卵圓孔未閉封堵術(shù)爭論和發(fā)展課件20卵圓孔未閉封堵術(shù)爭論和發(fā)展課件21卵圓孔未閉封堵術(shù)爭論和發(fā)展課件22卵圓孔未閉封堵術(shù)爭論和發(fā)展課件23卵圓孔未閉封堵術(shù)爭論和發(fā)展課件24卵圓孔未閉封堵術(shù)爭論和發(fā)展課件25卵圓孔未閉封堵術(shù)爭論和發(fā)展課件26卵圓孔未閉封堵術(shù)爭論和發(fā)展課件27卵圓孔未閉封堵術(shù)爭論和發(fā)展課件28卵圓孔未閉封堵術(shù)爭論和發(fā)展課件29卵圓孔未閉封堵術(shù)爭論和發(fā)展課件30卵圓孔未閉封堵術(shù)爭論和發(fā)展課件31卵圓孔未閉封堵術(shù)爭論和發(fā)展課件32卵圓孔未閉封堵術(shù)爭論和發(fā)展課件33卵圓孔未閉封堵術(shù)爭論和發(fā)展課件34卵圓孔未閉封堵術(shù)爭論和發(fā)展課件35卵圓孔未閉封堵術(shù)爭論和發(fā)展課件36卵圓孔未閉封堵術(shù)爭論和發(fā)展課件37卵圓孔未閉封堵術(shù)爭論和發(fā)展課件38卵圓孔未閉封堵術(shù)爭論和發(fā)展課件39卵圓孔未閉封堵術(shù)爭論和發(fā)展課件40卵圓孔未閉封堵術(shù)爭論和發(fā)展課件41卵圓孔未閉封堵術(shù)爭論和發(fā)展課件42卵圓孔未閉封堵術(shù)爭論和發(fā)展課件43卵圓孔未閉封堵術(shù)爭論和發(fā)展課件44卵圓孔未閉封堵術(shù)爭論和發(fā)展課件45卵圓孔未閉封堵術(shù)爭論和發(fā)展課件46卵圓孔未閉封堵術(shù)爭論和發(fā)展課件47卵圓孔未閉封堵術(shù)爭論和發(fā)展課件48卵圓孔未閉封堵術(shù)爭論和發(fā)展課件49卵圓孔未閉封堵術(shù)爭論和發(fā)展課件50卵圓孔未閉封堵術(shù)爭論和發(fā)展課件51卵圓孔未閉封堵術(shù)爭論和發(fā)展課件52卵圓孔未閉封堵術(shù)爭論和發(fā)展課件53卵圓孔未閉封堵術(shù)爭論和發(fā)展課件54卵圓孔未閉封堵術(shù)爭論和發(fā)展課件55卵圓孔未閉封堵術(shù)爭論和發(fā)展課件56卵圓孔未閉封堵術(shù)爭論和發(fā)展