García-Montes José Antonio, Zabal Cerdeira Carlos, Calderón-Colmenero Juan, Espínola Nilda, Fernández de la Reguera Guillermo, Buendía Hernández Alfonso
Instituto Nacional de Cardiología lgnacio Chávez, México.
Arch Cardiol Mex. 2005 Jul-Sep;75(3):320-6.
Surgical treatment of multiple muscular ventricular septal defects with associated lesions and severe pulmonary hypertension has a high morbility and mortality. Closure of these defects by the Amplatzer muscular VSD occluder is an alternative to surgery, avoiding the need of cardiopulmonary bypass. We present the case of a 38 year-old woman with signs of heart failure in NYHA functional class IV, with two muscular ventricular septal defects, patent ductus arteriosus and severe pulmonary hypertension, that were treated with three Amplatzer muscular VSD occluders, with significant reduction of pulmonary pressure and functional class improvement.
伴有相关病变和重度肺动脉高压的多发性肌部室间隔缺损的外科治疗具有较高的发病率和死亡率。使用Amplatzer肌部室间隔缺损封堵器闭合这些缺损是一种替代手术的方法，可避免体外循环。我们报告一例38岁女性患者，纽约心脏协会（NYHA）心功能分级为IV级，有心力衰竭体征，患有两个肌部室间隔缺损、动脉导管未闭和重度肺动脉高压，使用三个Amplatzer肌部室间隔缺损封堵器进行治疗后，肺动脉压力显著降低，心功能分级得到改善。
