婴儿起搏器安置并发症致上腔静脉综合征的支架介入治疗。
Stent interventional treatment of superior vena cava syndrome with a pacemaker placement complication in an infant.
机构信息
Servicio de Cardiología Pediátrica, Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.
Servicio de Ecocardiografía Pediátrica. Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.
出版信息
Bol Med Hosp Infant Mex. 2020;77(1):34-37. doi: 10.24875/BMHIM.19000097.
BACKGROUND
Epicardial pacemaker is the preferred method for newborns and children under 10 kg of weight. However, its placement presents a high rate of premature failure.
CASE REPORT
The case of an infant requiring placement of pacemaker by congenital atrioventricular block with prenatal diagnosis is described. The patient showed critical stenosis of the superior vena cava as a complication. Interventional resolution using a stent at the site of stenosis corrected the superior vena cava syndrome effectively.
CONCLUSIONS
This case represents a clinically viable alternative for the treatment of superior vena cava syndrome, which can be used after other conventional therapies have failed.
背景
心外膜起搏器是体重 10 公斤以下新生儿和儿童的首选方法。然而，其放置的失败率很高。
病例报告
本文描述了一例因先天性房室传导阻滞需要安置起搏器的婴儿病例，该婴儿在产前诊断中发现。患者表现出上腔静脉严重狭窄，这是一种并发症。使用支架对狭窄部位进行介入治疗，有效地纠正了上腔静脉综合征。
结论
本病例为治疗上腔静脉综合征提供了一种可行的临床替代方案，可在其他常规治疗失败后使用。
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