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严重先天性膈疝伴显著左心发育不良的心血管杂交手术。

Cardiovascular hybrid procedure in severe congenital diaphragmatic hernia with significant left heart hypoplasia.

机构信息

Department of Surgery and Urology for Children and Adolescents, Medical University of Gdańsk, Gdańsk, Poland.

出版信息

Eur J Cardiothorac Surg. 2012 Jul;42(1):185-7. doi: 10.1093/ejcts/ezs099. Epub 2012 Mar 28.

DOI:10.1093/ejcts/ezs099
PMID:22457147
Abstract

The authors discuss an early hybrid cardiovascular intervention in a neonate with left-sided congenital diaphragmatic hernia and significant left heart hypoplasia. The operation included persistent ductus arteriosus stenting and right pulmonary artery calibrated banding (3.5 mm) to increase blood flow in the aorta and to decrease right ventricle overload and decrease blood pressure and overflow in pulmonary circulation. The operation improved the child's general condition and gained time for left ventricle growth and restoration of its function.

摘要

作者讨论了一例左侧先天性膈疝和左心发育不全的新生儿的早期杂交心血管介入治疗。手术包括持续动脉导管支架置入和右肺动脉校准带(3.5 毫米),以增加主动脉血流量,减少右心室负荷,降低肺循环血压和充血。该手术改善了患儿的一般情况,并为左心室生长和功能恢复争取了时间。

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引用本文的文献

1
Alternative hybrid and staged interventional treatment of congenital heart defects in critically ill children with complex and non-cardiac problems.患有复杂非心脏问题的危重症儿童先天性心脏缺陷的替代性杂交和分期介入治疗。
Wideochir Inne Tech Maloinwazyjne. 2015 Jul;10(2):244-56. doi: 10.5114/wiitm.2015.49474. Epub 2015 Feb 25.
2
Proximal ductus arteriosus stenosis after the hybrid stage I procedure in a newborn with hypoplastic left heart syndrome.
Postepy Kardiol Interwencyjnej. 2013;9(2):187-9. doi: 10.5114/pwki.2013.35458. Epub 2013 Jun 17.
3
Gdansk Hybrid Heartlink Programme (GHHP) - we need to share the experience with miniinvasive hybrid procedures in borderline babies.格但斯克混合心脏连接计划(GHHP)——我们需要分享在临界婴儿中进行微创混合手术的经验。
Wideochir Inne Tech Maloinwazyjne. 2013 Sep;8(3):238-40. doi: 10.5114/wiitm.2011.34210. Epub 2013 Mar 26.