Department of Paediatric Cardiac Surgery, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.
Department of Paediatric Cardiology, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.
World J Pediatr Congenit Heart Surg. 2021 May;12(3):429-432. doi: 10.1177/2150135118822302. Epub 2019 May 22.
Early recruitment of a discontinuous branch pulmonary artery will give the best long-term outcome for congenitally disconnected pulmonary arteries. This may be achieved using a staged approach. Even in low birth weight neonates, a hybrid approach with the first stage consisting of transcervical (via the common carotid artery) patent ductus arteriosus stenting can be performed to recruit the pulmonary artery where conventional treatment strategies may not be feasible or may be associated with higher risk.
早期招募不连续的肺动脉分支将为先天性肺隔离症提供最佳的长期预后。这可以通过分期的方法来实现。即使是低出生体重儿,也可以采用杂交方法,第一阶段经颈(通过颈总动脉)动脉导管未闭支架置入术,以招募肺动脉,在这种情况下,常规治疗策略可能不可行或可能具有更高的风险。