单肺移植术后肺静脉狭窄的成功血管成形术及支架治疗
Successful angioplasty and stent treatment of pulmonary vein stenosis after single-lung transplantation.
作者信息
Zimmermann Gregor S, Reithmann Christopher, Strauss Tim, Hatz Rudolph, Brenner Paolo, Uberfuhr Alois, Frey Lorenz, Nikolaou Konstandin, Behr Juergen
机构信息
Department of Internal Medicine I, Division of Pulmonary Diseases, Ludwig-Maximilians-University, Klinikum Grosshadern, Munich, Germany.
出版信息
J Heart Lung Transplant. 2009 Feb;28(2):194-8. doi: 10.1016/j.healun.2008.11.001.
In this report we describe a 42-year-old man with idiopathic pulmonary fibrosis with a progressive course who underwent right single-lung transplantation in November 2007. The post-operative course showed a decline of gas exchange, and chest X-ray revealed pneumonic infiltrates. Computerized tomography (CT) scans showed high-grade stenosis of the right superior pulmonary vein. The pulmonary vein stenosis was treated with percutaneous transseptal stent implantation leading to rapid improvement of gas exchange and clinical condition, and a retransplantation could be avoided.
在本报告中，我们描述了一名42岁患有特发性肺纤维化且病情呈进行性发展的男性患者，该患者于2007年11月接受了右侧单肺移植手术。术后病程显示气体交换功能下降，胸部X线检查发现肺部浸润影。计算机断层扫描（CT）显示右上肺静脉高度狭窄。通过经皮经间隔支架植入术治疗肺静脉狭窄后，气体交换和临床状况迅速改善，从而避免了再次移植。
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