Al-Husami Wael F, Piemonte Thomas
Department of Cardiology, Lahey Clinic Medical Center, Tufts University School of Medicine, 41 Mall Road, Burlington, MA 01805, USA.
J Invasive Cardiol. 2008 Oct;20(10):E293-5.
Children with congenital heart disease represent 1% of live births, and it is estimated that millions will reach adulthood. Advances in cardiac surgery for the treatment of pediatric congenital heart disease have allowed many of these patients to enjoy a long life. Adults with a history of repaired congenital heart disease present different and unique challenges to the adult interventional cardiologist. This is a case report of a patient who presented with pseudoaneurysm of a repaired coarctation of the aorta, illustrating the need for the interventional cardiologist to be innovative in using the many occluding devices available in the laboratory. Our case demonstrates the technical feasibility of occluding the pseudoaneurysm tube graft used for the correction of the coarctation of the aorta. This procedure can be performed safely and successfully in expert hands.
先天性心脏病患儿占活产婴儿的1%,据估计,数百万患儿将成年。小儿先天性心脏病治疗的心脏外科手术进展使许多此类患者能够长寿。有先天性心脏病修复史的成年人给成人介入心脏病专家带来了不同且独特的挑战。本文报告一例主动脉缩窄修复术后出现假性动脉瘤的患者,说明介入心脏病专家在使用实验室现有的多种封堵装置时需要创新。我们的病例证明了封堵用于矫正主动脉缩窄的假性动脉瘤人工血管的技术可行性。该手术在专家手中可以安全、成功地进行。