气管内可扩张金属支架所致气管肺动脉瘘的成功手术治疗

Successful surgical management of a tracheopulmonary artery fistula caused by an intratracheal expandable metal stent.

作者信息

Miyamoto T, Ishida R, Noma M, Chikada M, Sekiguchi A

机构信息

Division of Cardiovascular Surgery, National Children's Hospital, Tokyo, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2001 Oct;49(10):632-4. doi: 10.1007/BF02916230.

DOI:10.1007/BF02916230

PMID:11692592

Abstract

We describe a boy who underwent slide tracheoplasty and relocation of the left pulmonary artery at 3 months of age to treat pulmonary artery sling with congenital tracheal stenosis. Persisting tracheal stenosis required that he have a Palmaz stent inserted on postoperative day 77. He developed massive hemoptysis after the fourth attempt to expand the stent balloon and immediate computed tomography showed a tracheopulmonary artery fistula. Using cardiopulmonary bypass, we conducted emergency surgery to successfully manage the fistula. He currently depends on mechanical ventilation.

摘要

我们描述了一名3个月大的男孩，他接受了滑动气管成形术和左肺动脉重新定位，以治疗伴有先天性气管狭窄的肺动脉吊带。持续存在的气管狭窄要求他在术后第77天插入一个帕尔马兹支架。在第四次尝试扩张支架球囊后，他出现了大量咯血，即时计算机断层扫描显示存在气管肺动脉瘘。我们使用体外循环进行了急诊手术，成功处理了瘘管。他目前依赖机械通气。