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[采用雅泰内手术技术行经腔主动脉-肺动脉吻合术血管成形术。2例报告]

[Transluminal angioplasty of aortopulmonary anastomosis by the Jatene surgical technique. Report of 2 cases].

作者信息

Rati M A, Kajita L J, Arie S, Piccioni J L, Ikari N M, Atik E, Ebaid M, Marcial M B, Jatene A D

机构信息

Instituto do Coraçao do Hospital das Clínicas-FMUSP, São Paulo.

出版信息

Arq Bras Cardiol. 1990 Mar;54(3):211-3.

PMID:2288508
Abstract

Two patients with transposition of the great arteries submitted to Jatene surgery at ages of 6 days and 6 months respectively, presented in the postoperative period stenosis of the aorto-pulmonary anastomosis. The diagnosis was made three and six years after the surgery. In both patients successful percutaneous transluminal angioplasty (PTA) was performed, respectively six months and immediately after the diagnosis. Pressure gradients decreased from 83 mmHg to 24 mmHg in the first case, and from 76 mmHg to 13 mmHg in the other case, with clear improvement of the angiographic image. Complications of the procedure did not occur in any case. This application for PTA was not previously reported and should be considered as an alternative to the surgical correction of the "new" pulmonary trunk stenosis in the Jatene surgery.

摘要

两名大动脉转位患者分别在6日龄和6月龄时接受了贾腾手术,术后出现主-肺动脉吻合口狭窄。诊断分别在术后3年和6年做出。两名患者均在诊断后6个月和立即分别成功进行了经皮腔内血管成形术(PTA)。第一例患者压力阶差从83 mmHg降至24 mmHg,另一例从76 mmHg降至13 mmHg,血管造影图像明显改善。该手术未出现任何并发症。此前未报道过PTA的这种应用,应将其视为贾腾手术中“新”的肺动脉干狭窄手术矫正的一种替代方法。

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