Department of Interventional Cardiology, Azienda Ospedaliera S. Camillo Forlanini, Rome, Italy.
Catheter Cardiovasc Interv. 2013 Nov 1;82(5):834-7. doi: 10.1002/ccd.24654. Epub 2013 Jul 29.
This report describes the use of the Edwards Sapien THV in a patient who had a short regurgitant/stenotic homograft with early bifurcation stenoses of the pulmonary arteries. A 48-mm AndraStent was positioned in the right pulmonary artery-homograft jailing the left pulmonary artery (LPA). To have an unobstructed access to the LPA, the stent strut leading to the LPA was broken using high-pressure balloon. A 23-mm Edwards Sapien THV was positioned in the stented homograft just proximal to the LPA origin with resolution of the stenosis and regurgitation.
本报告介绍了在一名患者中使用 Edwards Sapien THV 的情况，该患者的同种带瓣移植血管存在短反流/狭窄，且肺动脉较早出现分叉狭窄。在右肺动脉-同种带瓣移植血管中植入一枚 48 毫米的 AndraStent，将左肺动脉（LPA）包裹在内。为了能够不受阻碍地进入 LPA，使用高压球囊将指向 LPA 的支架支柱折断。将一枚 23 毫米的 Edwards Sapien THV 放置在带支架的同种带瓣移植血管中，刚好位于 LPA 开口的近端，狭窄和反流得到解决。
