Rush Center for Congenital and Structural Heart Disease, Rush University Medical Center, Chicago, Illinois.
Catheter Cardiovasc Interv. 2013 Nov 1;82(5):824-7. doi: 10.1002/ccd.25044. Epub 2013 Aug 9.
Transcatheter pulmonic valve implantation has emerged as a safe and effective alternative to valve surgery in patients with surgically corrected congenital heart disease. In cases where the transcatheter approach has failed, or was thought to be technically challenging, a hybrid approach to pulmonic valve implantation has been described. This approach involves a small subxyphoid incision made by the cardiac surgeon and implantation of the pulmonic valve through the appropriate delivery sheath through this incision. Here we describe a case of a successful implantation of a Melody valve in a 12 kg child with tetralogy of Fallot. To our knowledge this is the smallest child to have undergone this procedure reported.
经导管肺动脉瓣植入术已成为一种安全有效的替代方法，用于治疗已接受手术矫正的先天性心脏病患者。在经导管治疗失败或被认为具有技术挑战性的情况下，已经描述了一种肺动脉瓣植入的杂交方法。这种方法涉及心脏外科医生通过一个小的剑突下切口，并通过这个切口将肺动脉瓣通过适当的输送鞘植入。在此，我们描述了一例成功植入 Melody 瓣膜的 12 公斤体重法洛四联症患儿的病例。据我们所知，这是接受该手术的最小年龄的患儿。
