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法洛四联症合并动脉下室间隔缺损时右心室流出道支架置入术：一则警示

Stenting of right ventricular outflow tract in Tetralogy of Fallot with subarterial ventricular septal defect: A word of caution.

作者信息

Lee Jonathan, Sivalingam Sivakumar, Alwi Mazeni

机构信息

Department of Cardiothoracic Surgery, National Heart Institute, Kuala Lumpur, Malaysia.

Department of Pediatric Cardiology, National Heart Institute, Kuala Lumpur, Malaysia.

出版信息

Ann Pediatr Cardiol. 2017 Sep-Dec;10(3):281-283. doi: 10.4103/apc.APC_168_16.

DOI:10.4103/apc.APC_168_16
PMID:28928615
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5594940/
Abstract

We report a case of Tetralogy of Fallot with severe cyanosis who underwent a successful right ventricular outflow tract stenting. Follow-up echocardiography revealed moderate aortic regurgitation due to the impingement of the stent on the aortic valve. The patient underwent successful surgical correction at which time the stent was removed completely with a resolution of the aortic regurgitation.

摘要

我们报告了一例患有严重紫绀的法洛四联症患者，该患者接受了成功的右心室流出道支架置入术。随访超声心动图显示，由于支架对主动脉瓣的撞击，出现了中度主动脉瓣反流。该患者接受了成功的手术矫正，此时支架被完全移除，主动脉瓣反流得到解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2715/5594940/a28084cb1837/APC-10-281-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2715/5594940/ee4363ffd983/APC-10-281-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2715/5594940/a28084cb1837/APC-10-281-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2715/5594940/ee4363ffd983/APC-10-281-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2715/5594940/a28084cb1837/APC-10-281-g002.jpg

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本文引用的文献

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Stenting of the right ventricular outflow tract in the high-risk infant with cyanotic teratology of Fallot.对患有法洛四联症的高危青紫型婴儿进行右心室流出道支架置入术。
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Stenting of the right ventricular outflow tract.右心室流出道支架置入术。
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Surgery following primary right ventricular outflow tract stenting for Fallot's tetralogy and variants: rehabilitation of small pulmonary arteries.
法洛四联症严重青紫型姑息治疗中右心室流出道支架置入术的评估：观察性研究的系统评价和荟萃分析
J Tehran Heart Cent. 2021 Oct;16(4):135-146. doi: 10.18502/jthc.v16i4.8599.
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Stenting of the right ventricular outflow tract in the symptomatic infant with tetralogy of Fallot.对有症状的法洛四联症婴儿进行右心室流出道支架置入术。
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Ann Thorac Surg. 2003 Oct;76(4):1059-64; discussion 1064-5. doi: 10.1016/s0003-4975(03)00836-1.
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Circulation. 1981 Sep;64(3):558-66. doi: 10.1161/01.cir.64.3.558.
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[Two-dimensional echocardiographic diagnosis of tetralogy of Fallot with a total conus defect].二维超声心动图诊断法洛四联症合并完全性圆锥干畸形
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