儿童主动脉缩窄的血管内支架置入术及文献复习。

Endovascular stent for coarctation of the aorta in a child and review of the literature.

机构信息

Department of Pediatrics, National Yang-Ming University, Taipei, Taiwan.

出版信息

Pediatr Neonatol. 2011 Aug;52(4):237-9. doi: 10.1016/j.pedneo.2011.05.007. Epub 2011 Jun 2.

DOI:10.1016/j.pedneo.2011.05.007

Abstract

An 11-year-old, 35-kg boy underwent balloon angioplasty twice, at the ages of 4 years and 10 years, with only limited effect. He was admitted for another cardiac catheterization because of chest pain and breathlessness on exercise. Aortography revealed severe discrete coarctation of the aorta, with the narrowest diameter of 6mm. The pressures of the ascending aorta and descending aorta were 115/72mmHg and 93/66mmHg, respectively. After implantation of a 16-mm-diameter stent, the systolic pressure gradient decreased from 22mmHg to 0mmHg. Annual follow-up for 6 years showed normal blood pressure, no exercise intolerance, and no recoarctation.

摘要

一名 11 岁、35 公斤重的男孩在 4 岁和 10 岁时接受了两次球囊血管成形术，但效果有限。他因运动时胸痛和呼吸困难而入院进行另一次心导管检查。主动脉造影显示严重的离散性主动脉缩窄，最窄直径为 6mm。升主动脉和降主动脉的压力分别为 115/72mmHg 和 93/66mmHg。植入 16 毫米直径的支架后，收缩压梯度从 22mmHg 降至 0mmHg。6 年的年度随访显示血压正常，无运动耐量下降，无再狭窄。