Khasnis A, Dalvi B
Glenmark Cardiac Centre and Jaslok Hospital, Mumbai.
Indian Heart J. 2001 Mar-Apr;53(2):214-7.
Superior vena cava obstruction following corrective repair of total anomalous pulmonary venous return has rarely been described in the literature. A one-month-old boy who underwent corrective surgery for obstructive supracardiac total anomalous pulmonary venous return with consequent symptomatic superior vena cava obstruction in the immediate postoperative period, is reported. This was treated by balloon dilatation followed by stenting of the superior vena cava. The immediate postoperative result was satisfactory and the infant continued to remain asymptomatic at six months follow up. We suggest that this intervention could prove to be a viable alternative to a repeat surgical procedure for such complex cases.
文献中很少描述完全性肺静脉异位引流矫正修复术后上腔静脉梗阻的情况。本文报道了一名1个月大的男孩,他接受了梗阻性心上型完全性肺静脉异位引流矫正手术,术后即刻出现有症状的上腔静脉梗阻。通过球囊扩张并随后对上腔静脉进行支架置入治疗。术后即刻结果令人满意,婴儿在6个月的随访中一直无症状。我们认为,对于此类复杂病例,这种干预可能是再次手术的可行替代方案。