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经导管主动脉瓣关闭术治疗左心发育不良综合征 I 期姑息治疗失败的严重主动脉瓣反流。

Transcatheter aortic valve closure to treat severe aortic regurgitation in a patient failing stage I palliation for hypoplastic left heart syndrome.

机构信息

Department of Pediatric Cardiology, Heart Center, University of Leipzig, 04289 Leipzig, Germany.

出版信息

Catheter Cardiovasc Interv. 2009 Nov 15;74(6):913-5. doi: 10.1002/ccd.22127.

DOI:10.1002/ccd.22127
PMID:19521996
Abstract

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.

摘要

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。

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Catheter Cardiovasc Interv. 2022 Sep;100(3):395-398. doi: 10.1002/ccd.30343. Epub 2022 Jul 28.
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Retrograde transcatheter aortic valve closure in an infant with failing Norwood stage I palliation: a case report.Norwood一期姑息治疗失败的婴儿行逆行经导管主动脉瓣关闭术:一例报告
J Med Case Rep. 2019 Jul 17;13(1):217. doi: 10.1186/s13256-019-2141-5.