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一名共同动脉干合并主动脉弓中断患者行右肺动脉支架置入术后出现支气管受压的不良反应。

Bronchial compression as adverse effect of right pulmonary artery stenting in a patient with truncus arteriosus communis and interrupted aortic arch.

作者信息

Takeuchi Koh, Srivastava Aseem, Steed Dennis R

机构信息

Department of Cardiovascular Science, East Carolina University 115 Heart Drive Greenville, NC 27834, USA.

Department of Pediatrics, East Carolina University 115 Heart Drive Greenville, NC 27834, USA.

出版信息

Ann Pediatr Cardiol. 2019 Jan-Apr;12(1):66-68. doi: 10.4103/apc.APC_63_18.

Abstract

Aortic arch obstruction and bronchial compression are possible postoperative complications in patients with truncus arteriosus communis (TAC) with interrupted aortic arch (IAA). We present a case of bronchial compression as adverse effect of right pulmonary artery (PA) stenting in an infant with TAC (Type 4A)-IAA (Type B) repair. Due to growth potential, self-expandable metal stent was applied for postoperative proximal right PA stenosis, which caused bronchial compression. Later, we found patient having bronchomalacia. Surgical removal was needed. Stent insertion might be an option for postoperative PA stenosis, but bronchial compression might be a potential risk, particularly in patients with bronchomalacia.

摘要

共同动脉干(TAC)合并主动脉弓中断(IAA)的患者术后可能出现主动脉弓梗阻和支气管受压。我们报告一例在接受TAC(4A型)-IAA(B型)修复的婴儿中,右肺动脉(PA)支架置入术导致支气管受压的不良反应。由于存在生长潜力,对术后近端右PA狭窄应用了自膨式金属支架,这导致了支气管受压。后来,我们发现患者存在气管软化。需要手术切除。支架置入可能是术后PA狭窄的一种选择,但支气管受压可能是一个潜在风险,尤其是在气管软化的患者中。

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