Department of Pediatric Cardiology, Heart Center, University of Leipzig, 04289 Leipzig, Germany.
Catheter Cardiovasc Interv. 2009 Nov 15;74(6):913-5. doi: 10.1002/ccd.22127.
We present a patient with borderline left ventricle, in whom significant aortic regurgitation after failed attempt of biventricular repair with balloon valvuloplasty and consecutive Norwood stage 1 procedure substantially contributed to persisting hemodynamic instability. Transcatheter closure of the aortic valve using an Amplatzer(R) septal occluder was performed and led to clinical stabilization. At medium-term follow-up, there was neither residual aortic regurgitation nor obstruction of the coronary artery origins.
我们报告了 1 例左心室边缘性患者,在经球囊瓣膜成形术修复双心室失败并随后行 Norwood 1 期手术后出现严重主动脉瓣反流,导致持续的血流动力学不稳定。使用 Amplatzer(R) 房间隔封堵器行经导管主动脉瓣关闭术,并导致临床稳定。在中期随访中,既没有残余的主动脉瓣反流,也没有冠状动脉起源阻塞。