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3个月以下婴儿主动脉缩窄的支架置入指征。

Indications for stenting of coarctation of the aorta in children under 3 months of age.

作者信息

Krasemann T, van Beynum I, Dalinghaus M, van Leuwen W, Bogers A, van de Woestijne P

机构信息

Department of Paediatrics, Division of Paediatric , Cardiology, Sophia Kinderziekenhuis, Erasmus MC Rotterdam, Rotterdam, The Netherlands.

Department of Cardiothoracic Surgery, Erasmus MC Rotterdam, Rotterdam, The Netherlands.

出版信息

Neth Heart J. 2020 Oct;28(10):546-550. doi: 10.1007/s12471-020-01371-8.

DOI:10.1007/s12471-020-01371-8
PMID:32056092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7494706/
Abstract

INTRODUCTION

Coarctation of the aorta in children under 3 months of age is usually treated surgically. However, there are clinical scenarios in which stenting of native or recurrent coarctation may become necessary in this age group.

CASE REPORTS

Four cases illustrate possible indications: left ventricular dysfunction increasing the operative risk, thrombus formation after coarctation surgery, patient size (i.e. in premature babies), and retrograde arch obstruction after hybrid palliation of hypoplastic left heart syndrome. In all babies, coarctation stenting was carried out successfully without complications.

CONCLUSION

Coarctation stenting can be carried out safely in small children. Usually, the stent has to be removed or redilated later. Results are encouraging.

摘要

引言

3个月以下儿童的主动脉缩窄通常采用手术治疗。然而，在某些临床情况下，该年龄组的原发性或复发性主动脉缩窄可能需要进行支架置入术。

病例报告

四个病例说明了可能的适应症：左心室功能障碍增加手术风险、缩窄手术后血栓形成、患者体型（即早产儿）以及左心发育不全综合征混合姑息治疗后逆行性主动脉弓梗阻。在所有婴儿中，主动脉缩窄支架置入术均成功实施，无并发症。

结论

小儿主动脉缩窄支架置入术可安全进行。通常，支架以后必须取出或再次扩张。结果令人鼓舞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/e744046609b4/12471_2020_1371_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/c706367aceda/12471_2020_1371_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/ca4902dba4c0/12471_2020_1371_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/ad6692547eb7/12471_2020_1371_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/e744046609b4/12471_2020_1371_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/c706367aceda/12471_2020_1371_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/ca4902dba4c0/12471_2020_1371_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/ad6692547eb7/12471_2020_1371_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6264/7494706/e744046609b4/12471_2020_1371_Fig4_HTML.jpg

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J Interv Cardiol. 2018 Dec;31(6):834-840. doi: 10.1111/joic.12549. Epub 2018 Aug 8.
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Stent Angioplasty for Critical Native Aortic Coarctation in Three Infants: Up to 15-Year Follow-Up Without Surgical Intervention and Review of the Literature.三名婴儿严重先天性主动脉缩窄的支架血管成形术：长达15年的无需手术干预的随访及文献综述
Pediatr Cardiol. 2018 Dec;39(8):1501-1513. doi: 10.1007/s00246-018-1922-8. Epub 2018 Jun 12.
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Balloon-expandable stents for recoarctation of the aorta in small children. Two centre experience.
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Int J Cardiol. 2018 Jul 15;263:34-39. doi: 10.1016/j.ijcard.2018.02.054.
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