Vida Vladimiro L, Biffanti Roberta, Stellin Giovanni, Milanesi Ornella
Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Surgery, University of Padua, Via Giustiniani, 2-35128 Padua, Italy.
Pediatr Cardiol. 2013 Jun;34(5):1267-8. doi: 10.1007/s00246-012-0377-6. Epub 2012 May 29.
We describe the natural history of an adolescent patient who developed an aortopulmonary fistula (APF) after transcatheter stent placement for left pulmonary artery stenosis after neonatal repair of d-transposition of the great arteries. Due to its rarity, the APF was not initially diagnosed and treated until 4 months later. The APF was occluded with a covered stent. Because this is not an isolated report in the literature, we believe it should be considered as a potential complication in all patients after balloon dilation of stenotic pulmonary artery branches after arterial switch surgery.
我们描述了一名青少年患者的自然病史，该患者在大动脉d型转位新生儿修复术后因左肺动脉狭窄接受经导管支架置入术后发生了主肺动脉瘘（APF）。由于其罕见性，APF最初未被诊断出来，直到4个月后才得到治疗。APF用覆膜支架封堵。因为这并非文献中的孤立报道，我们认为在动脉调转手术后对狭窄的肺动脉分支进行球囊扩张的所有患者中，都应将其视为一种潜在并发症。
