Division of Cardiology, Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan.
Catheter Cardiovasc Interv. 2013 Oct 1;82(4):574-80. doi: 10.1002/ccd.24632. Epub 2013 Mar 9.
Temporary relief of obstructed total anomalous pulmonary venous connection (TAPVC) may stabilize the preoperative clinical status. We report a 1.4 kg infant with obstructed supracardiac TAPVC to right sided superior vena cava, double outlet right ventricle, pulmonary atresia, major aortopulmonary collateral arteries, and atrioventricular septal defect. A palliative percutaneous stent was successfully placed and resulted in immediate clinical improvement. We performed a review of literature regarding interventional procedures for relief of obstructed TAPVC and found 17 cases including stent placement (13), balloon angioplasty (3), and Hybrid procedure (1). We conclude that temporary stent placement in obstructed TAPVC is feasible and efficacious in relieving pulmonary venous obstruction. The procedure can lead to subsequent surgical repair in a more favorable clinical status and has special significance in the low birth weight infant.
临时缓解完全性肺静脉异常连接（TAPVC）阻塞可能稳定术前临床状况。我们报告了一例 1.4 公斤的婴儿，患有阻塞性心上型 TAPVC 至右侧上腔静脉、双出口右心室、肺动脉瓣闭锁、主肺动脉侧支循环和房室间隔缺损。成功地进行了姑息性经皮支架置入术，立即改善了临床状况。我们回顾了关于介入治疗阻塞性 TAPVC 的文献，共发现 17 例病例，包括支架置入术（13 例）、球囊血管成形术（3 例）和杂交手术（1 例）。我们的结论是，在阻塞性 TAPVC 中临时支架置入术是可行和有效的，可以缓解肺静脉阻塞。该操作可在更有利的临床状况下进行随后的手术修复，并且在低出生体重儿中具有特殊意义。
