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对一名有症状的法洛四联症新生儿进行右心室流出道支架置入术。

Stenting of the right ventricular outflow tract in a symptomatic newborn with tetralogy of Fallot.

作者信息

Dryżek Paweł, Moszura Tomasz, Góreczny Sebastian, Michalak Krzysztof W

机构信息

Department of Cardiology, Polish Mother Memorial Hospital Research Institute, Lodz, Poland.

出版信息

Postepy Kardiol Interwencyjnej. 2015;11(1):44-7. doi: 10.5114/pwki.2015.49184. Epub 2015 Mar 6.

DOI:10.5114/pwki.2015.49184
PMID:25848370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4372631/
Abstract

This case describes a successful percutaneous stent implantation to critical stenosis of the right ventricle outflow tract in a female neonate with tetralogy of Fallot. At the time of the procedure she had poor development of the pulmonary arteries (McGoon and Nakata index 1.45 and 120, respectively). Stent implantation ensured an immediate increase in oxygen saturation level, and the physiological pulsating blood inflow caused good development of the pulmonary arteries during 12 months of follow up (McGoon 2.5; Nacata Index 436). After this time she was qualified for surgery and underwent surgical correction without using a patch or conduit implantation.

摘要

本病例描述了一名患有法洛四联症的女性新生儿，成功地经皮将支架植入右心室流出道严重狭窄处。手术时，她的肺动脉发育不良（麦戈恩指数和中田指数分别为1.45和120）。支架植入后氧饱和度水平立即提高，在12个月的随访期间，生理性搏动血流使肺动脉得到良好发育（麦戈恩指数2.5；中田指数436）。此后，她符合手术条件，接受了手术矫正，未使用补片或导管植入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f6/4372631/a83413fd5c08/PWKI-11-24632-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f6/4372631/7b866a73eead/PWKI-11-24632-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f6/4372631/4e42527acbd8/PWKI-11-24632-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f6/4372631/a83413fd5c08/PWKI-11-24632-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f6/4372631/7b866a73eead/PWKI-11-24632-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f6/4372631/4e42527acbd8/PWKI-11-24632-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92f6/4372631/a83413fd5c08/PWKI-11-24632-g003.jpg

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Korean Circ J. 2011 Dec;41(12):744-6. doi: 10.4070/kcj.2011.41.12.744. Epub 2011 Dec 31.
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Pulmonary artery growth after palliation of congenital heart disease with duct-dependent pulmonary circulation: arterial duct stenting versus surgical shunt.动脉导管支架置入与外科分流术治疗依赖动脉导管循环的先天性心脏病姑息术后肺动脉生长情况比较
J Am Coll Cardiol. 2009 Dec 1;54(23):2180-6. doi: 10.1016/j.jacc.2009.07.043.
3
Long-term results of right ventricular outflow tract reconstruction in neonatal cardiac surgery: options and outcomes.
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4
Pulmonary artery growth following arterial duct stenting in congenital heart disease with duct-dependent pulmonary circulation.动脉导管支架置入术后先天性心脏病伴导管依赖性肺循环中肺动脉的生长。
Catheter Cardiovasc Interv. 2009 Dec 1;74(7):1072-6. doi: 10.1002/ccd.22191.
5
Right ventricle outflow tract stenting as a method of palliative treatment of severe tetralogy of Fallot.右心室流出道支架置入术作为法洛四联症严重病例的姑息治疗方法。
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6
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