Singh Navdeep, Athwani Vivek, Bansal Vikas, Kundra Shaveta
Department of Pediatric Cardiology, SPS Hospitals, Ludhiana, Punjab, India.
Department of Pediatrics, SPS Hospitals, Ludhiana, Punjab, India.
Ann Pediatr Cardiol. 2018 Sep-Dec;11(3):312-314. doi: 10.4103/apc.APC_28_18.
We report a case of a 6-year-old female child with Takayasu's aorto-arteritis (TA) with severe coarctation of the aorta which resulted in an aortic dissection post-ballooning. This happened despite ensuring that markers for disease activity were negative, with appropriate corticosteroid therapy started before the procedure, and using a low-profile, low-pressure, and slightly undersized balloon for dilating the stenotic segment. It required immediate endovascular stenting to tide over the crisis. Following the procedure, she became normotensive with well-palpable lower limb pulses.
我们报告一例6岁女性儿童，患有高安动脉炎（TA）并伴有严重的主动脉缩窄，在球囊扩张术后发生了主动脉夹层。尽管确保疾病活动标志物为阴性，在手术前开始了适当的皮质类固醇治疗，并使用了低轮廓、低压且略小尺寸的球囊来扩张狭窄段，但仍发生了这种情况。这需要立即进行血管内支架置入以度过危机。手术后，她血压恢复正常，下肢脉搏可明显触及。
