Schneider Heike E, Gravenhorst Verena, Paul Thomas, Jacobshagen Claudius
Department of Pediatric Cardiology and Intensive Care Medicine, University Medical Center Goettingen, Goettingen, 37075, Germany.
Department for Cardiology and Pneumology, University Medical Center Goettingen, Robert-Koch-Str. 40, Goettingen, 37075, Germany.
Catheter Cardiovasc Interv. 2018 Feb 1;91(2):292-295. doi: 10.1002/ccd.27445. Epub 2017 Dec 14.
We present a 22-year-old patient with a univentricular heart who had already undergone five open heart surgeries including a Damus-Kaye-Stansel procedure, Fontan completion and tricuspid valve replacement. In addition, epimyocardial pacemaker implantation and repeated revisions had been necessary. He developed symptomatic free regurgitation of the pulmonary portion of his DKS anastomosis. To avoid additional high-risk open-heart surgery, we successfully implanted an Edwards Sapien 3 valve transfemorally in the pulmonary portion of the DKS anastomosis relieving insufficiency.
我们介绍了一名22岁的单心室心脏患者，该患者已经接受了五次心脏直视手术，包括Damus-Kaye-Stansel手术、Fontan手术完成和三尖瓣置换术。此外，还需要进行心外膜起搏器植入和多次修复手术。他出现了DKS吻合口肺动脉部分有症状的游离反流。为避免再次进行高风险的心脏直视手术，我们成功地经股动脉在DKS吻合口的肺动脉部分植入了一枚爱德华兹Sapien 3瓣膜，缓解了反流。
