法洛四联症青紫型患儿的姑息性经皮气囊瓣膜成形术

Palliative percutaneous balloon valvuloplasty in a cyanotic child with tetralogy of Fallot.

作者信息

Mehta A V, Perlman P E

机构信息

Department of Pediatrics, Quillen-Dishner College of Medicine, East Tennessee State University, Johnson City 37614.

出版信息

South Med J. 1990 Mar;83(3):360-1. doi: 10.1097/00007611-199003000-00032.

DOI:10.1097/00007611-199003000-00032

PMID:1690456

Abstract

We have presented the case of an 8-month-old child who had tetralogy of Fallot with severe pulmonary stenosis and minimal infundibular stenosis. Because of the relatively small annulus (10 mm) and young age of the infant, total correction was deferred, and a percutaneous palliative pulmonary balloon valvuloplasty was done. At the end of the procedure, he had neither cyanosis nor signs of congestive heart failure, and after four months of follow-up, he had only mild cyanosis with activities.

摘要

我们报告了一例8个月大患有法洛四联症且伴有严重肺动脉狭窄和轻微漏斗部狭窄的患儿。由于患儿瓣环相对较小（10毫米）且年龄较小，因此推迟了根治手术，而是进行了经皮姑息性肺动脉球囊瓣膜成形术。手术结束时，患儿既无发绀也无充血性心力衰竭的体征，经过4个月的随访，他仅在活动时有轻度发绀。