Papafaklis M I, Ligthart J M R, Vaina S, Witsenburg M, Bogers A J J C, Serruys P W
Thoraxcenter, Erasmus Medical Centre, Rotterdam, The Netherlands.
Int J Cardiovasc Intervent. 2005;7(3):138-40. doi: 10.1080/14628840500238425.
In this case report, we present the use of intracardiac echocardiography (ICE) for guiding the cardiac catheterization and subsequent hemodynamic investigation in an unusual patient case with multiple congenital abnormalities (bicuspid aortic valve, left cervical aortic arch, two aortic coarctations) and two aortic valve replacement operations in the past. The ICE catheter (AcuNav) permitted us to accurately and safely puncture the interatrial septum and place the Swan-Ganz catheter in the left ventricle; additionally, visualization of the aortic coarctation in the ascending aorta was also achieved.
在本病例报告中，我们介绍了在心内超声心动图（ICE）引导下，对一名有多种先天性异常（二叶式主动脉瓣、左颈主动脉弓、两处主动脉缩窄）且既往接受过两次主动脉瓣置换手术的特殊患者进行心导管插入术及后续血流动力学检查的情况。ICE导管（AcuNav）使我们能够准确、安全地穿刺房间隔并将Swan-Ganz导管置入左心室；此外，还实现了对升主动脉中主动脉缩窄的可视化。
