Ide Yujiro, Nemoto S, Ikeda T, Heima D, Itonaga T, Tohma M, Hasegawa S, Doi H, Hiraumi Y, Komeda M
Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Kyobu Geka. 2005 Jul;58(7):537-41.
One-month-old boy had severe emphysema of the right upper lobe due to the stenotic tracheal bronchus compressed between the distorted right patent ductus arteriosus (PDA) and the right aortic arch associated with right isomerism complex. He underwent a left modified Blalock-Taussig shunt and a division of the PDA on cardiopulmonary bypass. Extracorporeal lung support (ECLS) was introduced because of severe hypoxemia caused by remaining bronchomalacia of the tracheal bronchus. On postoperative day 3, a metal coronary angioplasty stent was implanted at the stenotic lesion under fluoroscopic and bronchoscopic guidance. He was successfully weaned from ECLS and then respirator after the implantation. This simple stenting procedure might be an effective alternate in the treatment of bronchomalacia or bronchial stenosis in early infancy.
一名1个月大的男婴因狭窄的气管支气管被扭曲的右动脉导管未闭（PDA）与右主动脉弓压迫，且与右位异构复合体相关，导致右上叶严重肺气肿。他在体外循环下接受了左改良Blalock-Taussig分流术和动脉导管未闭分离术。由于气管支气管残留软化导致严重低氧血症，引入了体外肺支持（ECLS）。术后第3天，在荧光镜和支气管镜引导下，在狭窄病变处植入金属冠状动脉成形术支架。植入后，他成功撤离了ECLS，随后撤离了呼吸机。这种简单的支架置入术可能是治疗婴儿早期支气管软化或支气管狭窄的有效替代方法。
