Barwad Parag W, Gulati Gurpreet Singh, Gupta Saurabh K, Saxena Anita, Airan Balram, Ramakrishnan Sivasubramaniam
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Department of Cardiac Radiology, All India Institute of Medical Sciences, New Delhi, India.
Ann Pediatr Cardiol. 2014 Jan;7(1):34-6. doi: 10.4103/0974-2069.126549.
Aortopulmonary collaterals (APCs) are occluded either preoperatively or at the time of cardiac surgery in patients with pulmonary atresia and ventricular septal defect (PAVSD). If left untreated, APCs are an important cause of deterioration in the early postoperative period. We present here an unusual case with a large residual APC causing refractory low-output state in the early postoperative period. Usual arterial approach failed due to extensive angulation with ostial narrowing. The large residual APC was successfully closed with an Amplatzer duct occluder (ADO) device delivered through the transvenous route.
在肺动脉闭锁合并室间隔缺损（PAVSD）的患者中，主肺动脉侧支血管（APCs）在术前或心脏手术时被闭塞。如果不进行治疗，APCs是术后早期病情恶化的重要原因。我们在此报告一例不寻常的病例，一个大的残余APCs在术后早期导致难治性低心排血量状态。由于与开口狭窄存在广泛成角，常规动脉途径失败。通过经静脉途径输送的Amplatzer导管封堵器（ADO）成功封闭了大的残余APCs。
