Division of Pediatric Cardiac Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ann Thorac Surg. 2012 Jul;94(1):e7-9. doi: 10.1016/j.athoracsur.2012.01.022.
Percutaneous pulmonary valve implantation (PPVI) is an attractive option for patients with pulmonary valve insufficiency or stenotic right ventricular outflow tracts. We present the case of a 26-year-old patient in which PPVI was used to treat d-transposition of the great arteries, uncommon coronary artery anatomy, and conduit stenosis that resulted from multiple operations on the right outflow. Days after discharge to home, she experienced acute chest discomfort correlating with ischemia noted on an electrocardiogram and elevated troponin levels. Coronary angiography confirmed mechanical compression of the left anterior descending coronary artery. The valve was removed in an emergency operation and replaced with a biological conduit.
经皮肺动脉瓣植入术（PPVI）是治疗肺动脉瓣关闭不全或右心室流出道狭窄患者的一种有吸引力的选择。我们报告了一例 26 岁患者的病例，该患者因右心流出道多次手术而患有大动脉转位、罕见的冠状动脉解剖结构和移植物狭窄，采用 PPVI 治疗。出院回家几天后，她出现急性胸痛，与心电图上观察到的缺血相关，并伴有肌钙蛋白水平升高。冠状动脉造影证实左前降支冠状动脉受到机械性压迫。紧急手术中取出了瓣膜，并更换为生物移植物。
