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[成年弯刀综合征修复术后下腔静脉狭窄的腔内扩张术]

[Intraluminal dilation of inferior vena cava stenosis after repair of the scimitar syndrome in an adult patient].

作者信息

Benito Bartolomé Fernando, González García Ana, Oliver Ruiz José M

机构信息

Sección de Hemodinámica, Unidad de Cardiopatías Congénitas del Adulto, Hospital General Universitario La Paz. Madrid, Spain.

出版信息

Rev Esp Cardiol. 2002 Feb;55(2):190-2. doi: 10.1016/s0300-8932(02)76579-2.

Abstract

A 39 year-old woman diagnosed with anomalous drainage of middle and lower right pulmonary veins to the inferior vena cava was corrected surgically by means of baffle with patch up to the left atrium. Early after the operation the patient related intolerance to small efforts and an episode of syncope. The cardiac catheterization demonstrated the presence of a severe stenosis in the inferior vena cava, in its union with the right atrium, that was successfully treated by means of intraluminal percutaneous dilation with a catheter of Inoue. After the procedure the gradient decreased and she improved tolerance to effort, which persisted 10 months later.

摘要

一名39岁女性被诊断为右下肺静脉异常引流至下腔静脉,通过使用补片构建挡板至左心房进行了手术矫正。术后早期,患者诉说轻微活动不耐受并发生过一次晕厥。心导管检查显示下腔静脉与右心房连接处存在严重狭窄,通过使用Inoue导管进行腔内经皮扩张成功治疗。术后压差降低,患者活动耐量改善,这种情况在10个月后仍持续存在。

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