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功能失调的肺动脉导管及并存的巨大假性动脉瘤：是否适合采用Melody瓣膜进行经皮介入治疗？

Dysfunctional pulmonary artery conduit and co-existing large pseudoaneurysm: well-suited for a percutaneous approach with the Melody valve?

作者信息

Kubicki Rouven, Stiller Brigitte, Grohmann Jochen

机构信息

Department of Congenital Heart Defects and Pediatric Cardiology, Heart Center, University of Freiburg, Mathildenstraße 1, 79106 Freiburg, Germany.

出版信息

Springerplus. 2016 Sep 15;5(1):1575. doi: 10.1186/s40064-016-3273-3. eCollection 2016.

DOI:10.1186/s40064-016-3273-3
PMID:27652148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5025400/
Abstract

Pseudoaneurysm formation is a rare but potentially life-threatening complication after surgical repair of congenital heart disease. We present a boy with truncus arteriosus communis 14 years after homograft placement in pulmonary position. On follow-up, he presented progressive chronic homograft degeneration. Moreover, a large pseudoaneurysm in the right ventricular outflow tract was surprisingly depicted. We opted for a two-stage interventional approach.

摘要

假性动脉瘤形成是先天性心脏病手术修复后一种罕见但可能危及生命的并发症。我们报告一名患有共同动脉干的男孩，在肺动脉位置植入同种异体移植物14年后的情况。在随访中，他出现了同种异体移植物的进行性慢性退变。此外，令人惊讶的是，右心室流出道发现了一个大的假性动脉瘤。我们选择了两阶段介入治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/5025400/382cf9fb5561/40064_2016_3273_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/5025400/4e152a89e820/40064_2016_3273_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/5025400/382cf9fb5561/40064_2016_3273_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/5025400/4e152a89e820/40064_2016_3273_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be3/5025400/382cf9fb5561/40064_2016_3273_Fig2_HTML.jpg

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The Medtronic Melody® transcatheter pulmonary valve implanted at 24-mm diameter--it works.美敦力公司生产的 24 毫米经导管肺动脉瓣植入后工作正常。
Catheter Cardiovasc Interv. 2013 Nov 1;82(5):816-23. doi: 10.1002/ccd.24821. Epub 2013 Aug 12.
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