经房间隔支架治疗部分性肺静脉异位回流修复术后吻合口狭窄
Transseptal stent treatment of anastomotic stricture after repair of partial anomalous pulmonary venous return.
作者信息
Dieter Robert S, Nelson Brian, Wolff Mathew R, Thornton Frank, Grist Thomas M, Cohen Daniel M
机构信息
Department of Medicine, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin 53792, USA.
出版信息
J Endovasc Ther. 2003 Aug;10(4):838-42. doi: 10.1177/152660280301000423.
PURPOSE
To report the endovascular treatment of a stenosis of the pulmonary venous anastomosis following surgical treatment for partial anomalous pulmonary venous return.
CASE REPORT
A 60-year-old man presented with recurrent pleural effusions after correction of a partial anomalous left pulmonary venous return. Magnetic resonance imaging demonstrated focal stenosis at the anastomosis of the anomalous pulmonary vein to the left atrial appendage. Using a transseptal approach, the pulmonary vein stenosis was accessed and successfully stented. The patient's symptoms improved, and follow-up imaging demonstrated a patent stent without residual pressure gradient.
CONCLUSIONS
Endovascular repair of a stenosis at the anastomosis of an anomalous pulmonary vein is possible and should be considered as a treatment option for this lesion.
目的
报告部分性肺静脉异位引流手术治疗后肺静脉吻合口狭窄的血管内治疗情况。
病例报告
一名60岁男性在纠正部分性左肺静脉异位引流后出现复发性胸腔积液。磁共振成像显示异常肺静脉与左心耳吻合处有局灶性狭窄。采用经房间隔途径，对肺静脉狭窄进行了处理并成功置入支架。患者症状改善，随访成像显示支架通畅，无残余压力阶差。
结论
异常肺静脉吻合口狭窄的血管内修复是可行的，应被视为该病变的一种治疗选择。
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