对一名体重1.4千克的左心发育不全患者采用杂交手术进行姑息治疗。
Palliation via hybrid procedure of a 1.4-kg patient with a hypoplastic left heart.
作者信息
Cua Clifford L, Galantowicz Mark E, Turner Daniel R, Forbes Thomas J, Hill Sharon L, Hoffman Timothy M, Cheatham John P
机构信息
The Heart Center, Columbus Children's Hospital, and Division of Pediatrics, The Ohio State University, Columbus, Ohio 43205-2696, USA.
出版信息
Congenit Heart Dis. 2007 May-Jun;2(3):191-3. doi: 10.1111/j.1747-0803.2007.00096.x.
Despite improvements in survival of patients with hypoplastic left heart syndrome (HLHS) with various palliative procedures, certain risk factors, such as weight less than 2.5 kg, continue to predict increased mortality. We report the palliation of a patient with HLHS weighing 1.4 kg via a hybrid procedure consisting of banding of the pulmonary arteries bilaterally, stenting the ductus arteriosus, and balloon atrial septostomy. We propose that this may be another alternative for palliation in this high-risk patient group.
尽管采用各种姑息治疗方法后，左心发育不全综合征（HLHS）患者的生存率有所提高，但某些风险因素，如体重低于2.5千克，仍预示着死亡率会增加。我们报告了一名体重1.4千克的HLHS患者通过一种混合手术进行姑息治疗的情况，该手术包括双侧肺动脉束带术、动脉导管支架置入术和球囊房间隔造口术。我们认为，这可能是这类高危患者群体姑息治疗的另一种选择。
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