Kepka Cezary, Demkow Marcin, Dzielińska Zofia, Ruzyłło Witold
II Samodzielna Pracownia Hemodynamiki Instytutu Kardiologii, Warszawa, Poland.
Kardiol Pol. 2003 Dec;59(12):517-8.
A case of a 49-year-old female with patent ductus arteriosus complicated by severe pulmonary hypertension is presented. The patent ductus arteriosus was successfully closed by the Amplatzer duct occluder. The physical capacity improved from functional NYHA class III at baseline to class I one month after the procedure. A significant reduction of systolic blood pressure in the pulmonary artery and pulmonary resistance was also observed. Indications for transcatheter closure of the patent ductus arteriosus in patients with severe pulmonary hypertension are discussed.
本文报告一例49岁女性动脉导管未闭合并严重肺动脉高压的病例。采用Amplatzer动脉导管封堵器成功闭合动脉导管未闭。术后一个月，患者体能从基线时的纽约心脏协会（NYHA）功能分级III级改善至I级。同时观察到肺动脉收缩压和肺血管阻力显著降低。本文还讨论了严重肺动脉高压患者行经导管闭合动脉导管未闭的适应证。
