Tyagi S, Sharma V P, Arora R
Department of Cardiology, G.B. Pant Hospital, New Delhi 110002, India.
Pediatr Cardiol. 1999 May-Jun;20(3):215-7. doi: 10.1007/s002469900445.
Balloon angioplasty followed by stenting of the thoracic aorta is reported in a 5-year-old girl with Takayasu's arteritis, who presented with severe hypertension and congestive heart failure. Her aortogram showed severe long segment stenosis of the descending thoracic aorta, which was successfully treated by balloon angioplasty on two occasions, but developed recurrences after 6 and 7 months of angioplasty. Balloon dilatation of the stenosed aorta, followed by sequential implantation of three 30-mm long Palmaz stents in tandem, bridging the full segment of the angioplastied aorta were performed successfully without any complications. The aortic diameter increased from 3.3 mm to 7.7 mm and the peak systolic pressure gradient decreased from 75 mmHg to 3 mmHg. There was no recurrence on clinical follow-up of 13 months.
据报道，一名患有高安动脉炎的5岁女孩接受了胸主动脉球囊血管成形术及支架置入术，该女孩出现严重高血压和充血性心力衰竭。她的主动脉造影显示胸降主动脉存在严重的长段狭窄，曾两次成功接受球囊血管成形术治疗，但血管成形术后6个月和7个月出现复发。成功地对狭窄的主动脉进行了球囊扩张，随后依次串联植入三个30毫米长的帕尔马兹支架，跨越血管成形术治疗的主动脉全段，未出现任何并发症。主动脉直径从3.3毫米增加到7.7毫米，收缩压峰值梯度从75毫米汞柱降至3毫米汞柱。在13个月的临床随访中未出现复发。
