Kapravelou Eva, Anderson David, Morgan Gareth J
Department of Paediatric Cardiology, Evelina Children's Hospital, London, United Kingdom.
Int J Angiol. 2018 Mar;27(1):50-53. doi: 10.1055/s-0037-1602374. Epub 2017 Apr 19.
The use of hybrid techniques to avoid neonatal cardiopulmonary bypass in high-risk individuals is well reported in the setting of hypoplastic left heart syndrome. We describe the use of that technique as a bridging procedure in high-risk neonates with an interrupted aortic arch. We report three cases where hybrid branch pulmonary artery banding and ductal stent implantation has been successfully used to defer complete repair, allowing recovery, maturity, and weight gain. This strategy may be considered for patients deemed at high risk for primary neonatal repair.
在左心发育不全综合征的情况下，使用杂交技术避免高危个体进行新生儿体外循环已有充分报道。我们描述了该技术在高危主动脉弓中断新生儿中的桥接手术应用。我们报告了3例杂交肺动脉分支环扎术和动脉导管支架植入术成功用于推迟完全修复，使患儿得以恢复、成熟并体重增加的病例。对于被认为进行初次新生儿修复手术风险高的患者，可考虑采用这一策略。
