药物洗脱支架治疗儿童急性Blalock-Taussig分流血栓形成——病例报告
Drug-eluting stent for acute Blalock-Taussig shunt thrombosis in a child-case report.
作者信息
Gopalakrishnan Arun, Sasidharan Bijulal, Menon Sabarinath, Krishnamoorthy Kavassery Mahadevan
机构信息
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, 695011, India.
Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, 695011, India.
出版信息
Egypt Heart J. 2020 Aug 26;72(1):54. doi: 10.1186/s43044-020-00084-y.
BACKGROUND
Blalock-Taussig shunt (BTS) continues to have a relatively high operative and short-term mortality, even in the current era. We report the use of drug-eluting stent in a child with acute shunt thrombosis, which has not been reported in the literature to date.
CASE PRESENTATION
A 7-month-old boy with double outlet right ventricle, severe pulmonary stenosis, and normally related great arteries underwent BTS placement for cyanotic spells. Ten days after discharge, he presented with shock due to a blocked BTS. He underwent emergency percutaneous revascularization of the shunt with a drug-eluting stent and is doing well at 9 months' follow-up on dual antiplatelet therapy.
CONCLUSIONS
Drug-eluting stents may be used in children with BTS thrombosis.
背景
即使在当今时代，布-陶分流术（BTS）的手术死亡率和短期死亡率仍然相对较高。我们报告了药物洗脱支架在一名急性分流血栓形成患儿中的应用，这在迄今为止的文献中尚未见报道。
病例介绍
一名7个月大的男孩，患有右心室双出口、严重肺动脉狭窄且大动脉关系正常，因发绀发作接受了BTS植入术。出院后10天，他因BTS堵塞出现休克。他接受了药物洗脱支架的紧急经皮分流血管重建术，在接受双联抗血小板治疗9个月的随访中情况良好。
结论
药物洗脱支架可用于BTS血栓形成的儿童。
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