严重发育不良性肺动脉瓣再狭窄的球囊肺动脉瓣切开术：一种稳定球囊定位的新方法。
Balloon pulmonary valvotomy in severe dysplastic pulmonary valve restenosis: A novel maneuver for stabilizing balloon positioning.
作者信息
Rajan Palanivel, Revaiah Pruthvi C, Barwad Parag
机构信息
Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Ann Pediatr Cardiol. 2021 Jan-Mar;14(1):116-118. doi: 10.4103/apc.APC_115_20. Epub 2020 Sep 17.
Balloon pulmonary valvuloplasty (BPV) is an interventional procedure that has practically replaced the need of open-heart surgery in patients with severe valvular pulmonary stenosis. However, BPV in dysplastic pulmonary valve (PV) still remains a challenge in the current milieu of advanced technologies. We encountered a unique situation of severe restenosis of PV wherein the attempt to balloon dilate the valve was futile because no balloon remained stable at the level of the valve. This situation was overcome using a PDA device delivery sheath to keep the balloon positioned at the desired location.
球囊肺动脉瓣成形术（BPV）是一种介入手术，在患有严重瓣膜性肺动脉狭窄的患者中，实际上已取代了开胸手术的需求。然而，在当前先进技术环境下，发育异常肺动脉瓣（PV）的BPV仍然是一项挑战。我们遇到了PV严重再狭窄的独特情况，即尝试对瓣膜进行球囊扩张是徒劳的，因为没有球囊能在瓣膜水平保持稳定。使用动脉导管未闭（PDA）装置输送鞘将球囊定位在所需位置，从而克服了这种情况。
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