Hallali P, Leriche H, Rioux J Y, Davido A, Corone P
Arch Mal Coeur Vaiss. 1987 Apr;80(4):420-5.
Percutaneous transluminal angioplasty (PTA), already widely used in stenosis of peripheral, renal or coronary arteries, has now been extended to congenital heart diseases. Thus, in pulmonary or aortic orificial stenosis this simple and fairly safe method has proved to be a suitable alternative to surgery. In other cases it may be used for tiding the patient over a critical period pending surgery. Finally, PTA may be performed as a palliative treatment of lesions that are too complex for surgery or carry an excessively high operative risk. This applies to the two cases reported here, where PTA enabled us to dilate: the ductus arteriosus in a patient with single ventricle--an application which, to our knowledge, has not yet been reported--and a strongly stenotic pulmonary orifice associated with a complex heart disease. In both cases PTA was successful both haemodynamically and angiographically and was followed by marked clinical improvement. The published cases of complex congenital heart diseases where PTA has been used are reviewed.
经皮腔内血管成形术（PTA）已广泛应用于外周动脉、肾动脉或冠状动脉狭窄，目前已扩展到先天性心脏病。因此，在肺动脉或主动脉瓣口狭窄中，这种简单且相当安全的方法已被证明是手术的合适替代方法。在其他情况下，它可用于使患者在等待手术的关键时期度过难关。最后，PTA可作为对过于复杂而无法手术或手术风险过高的病变的姑息治疗。这适用于此处报告的两个病例，其中PTA使我们能够扩张：单心室患者的动脉导管——据我们所知，这种应用尚未见报道——以及与复杂心脏病相关的严重狭窄的肺动脉瓣口。在这两个病例中，PTA在血流动力学和血管造影方面均取得成功，随后临床症状明显改善。本文回顾了已发表的使用PTA治疗复杂先天性心脏病的病例。
