一名青少年肺动脉高压患者的介入性心血管磁共振成像（iCMR）
Interventional Cardiovascular Magnetic Resonance Imaging (iCMR) in an Adolescent with Pulmonary Hypertension.
作者信息
Reddy Surendranath R Veeram, Arar Yousef, Hussain Tarique, Greil Gerald, Zabala Luis, Das Bibhuti B
机构信息
Division of Cardiology, Department of Pediatrics, Children's Medical Center Dallas, UTSW Medical Center, Dallas, TX 75235, USA.
Division of Cardiology, Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Austin Specialty Care, Austin, TX 78759, USA.
出版信息
Medicina (Kaunas). 2020 Nov 24;56(12):636. doi: 10.3390/medicina56120636.
The interventional cardiac magnetic resonance imaging (iCMR) catheterization procedure is feasible and safe for children and adults with pulmonary hypertension and congenital heart defects (CHD). With iCMR, the calculation of pulmonary vascular resistance (PVR) in children with complex CHD with multilevel shunt lesions is accurate. In this paper, we describe the role of the MRI-guided right-sided cardiac catheterization procedure to accurately estimate PVR in the setting of multiple shunt lesions (ventricular septal defect and patent ductus arteriosus) and to address the clinical question of operability in an adolescent with trisomy 21 and severe pulmonary hypertension.
介入性心脏磁共振成像（iCMR）导管插入术对于患有肺动脉高压和先天性心脏病（CHD）的儿童和成人来说是可行且安全的。使用iCMR，对于患有复杂CHD且有多级分流病变的儿童，肺血管阻力（PVR）的计算是准确的。在本文中，我们描述了MRI引导下的右侧心脏导管插入术在准确估计多发分流病变（室间隔缺损和动脉导管未闭）情况下的PVR以及解决一名患有21三体综合征和严重肺动脉高压的青少年的手术可行性这一临床问题中的作用。
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