Rush Center for Congenital and Structural Heart Disease, Rush University Medical Center, Chicago, Illinois 60612, USA.
Catheter Cardiovasc Interv. 2012 Jan 1;79(1):125-30. doi: 10.1002/ccd.22979. Epub 2011 Jul 21.
Stenting of the arterial duct to maintain postnatal communication between the pulmonary and systemic arterial circulations in infants with complex congenital heart disease is an acceptable alternative to a surgically created systemic to pulmonary artery shunt. The procedure, however, can be demanding given the variable anatomy of the patent ductus arteriosus. We report a series of cases of ductal stenting via a range of varying approaches in neonates with complex congenital heart disease, and display the variety of situations in which these approaches may be used.
对患有复杂先天性心脏病的婴儿,在动脉导管内放置支架以维持肺循环和体循环之间的出生后沟通,是一种可接受的替代方法,取代了通过手术创建的体肺动脉分流术。然而,由于动脉导管未闭的解剖结构多变,该手术过程可能具有挑战性。我们报告了一系列通过各种不同方法在患有复杂先天性心脏病的新生儿中进行导管支架置入的病例,并展示了这些方法可能被使用的各种情况。