Division of Cardiovascular Surgery, Heart Institute (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Division of Cardiovascular Surgery, Heart Institute (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Cardio-Thoracic Center, Clínica Girassol, Luanda, Angola.
Heart Lung Circ. 2021 Aug;30(8):e83-e85. doi: 10.1016/j.hlc.2021.01.011. Epub 2021 Mar 19.
Pulmonary artery stenosis is a frequent complication after arterial switch operation. This case study presented a complex pulmonary artery stenosis initially treated with bilateral pulmonary artery stenting. The patient was found to have aortic valve endocarditis and recurrent pulmonary artery stenosis. The aortic valve was replaced and the pulmonary valve was repaired, followed by interposition of a Y-shaped graft from the sinotubular junction to both pulmonary arteries. The patient had an uneventful recovery and was discharged home asymptomatic after endocarditis antibacterial treatment.
肺动脉狭窄是动脉调转手术后的常见并发症。本病例报告了一例复杂的肺动脉狭窄，最初采用了双侧肺动脉支架治疗。该患者被发现患有主动脉瓣心内膜炎和复发性肺动脉狭窄。主动脉瓣被替换，肺动脉瓣被修复，随后在窦管交界处至两侧肺动脉之间插入了一个 Y 形移植物。患者在接受心内膜炎抗菌治疗后恢复顺利，无并发症出院，且无症状。
