Gibbs J L, Wilson N, da Costa P
Department of Paediatric Cardiology, Killingbeck Hospital, Leeds.
Br Heart J. 1988 May;59(5):596-7. doi: 10.1136/hrt.59.5.596.
Percutaneous balloon dilatation of a Waterston anastomosis was performed in a child who had had four shunt operations. Initially, the procedure was apparently successful, but pulmonary oedema developed and he died 12 hours after the procedure. Balloon dilatation of a Waterston anastomosis is technically possible and may prove to be an alternative to reoperation in certain patients. But further experience with the technique is necessary to determine the optimum size of the inflated balloon, and to avoid the risk of producing an excessive increase in pulmonary blood supply.
对一名已经接受过四次分流手术的儿童进行了经皮Waterston吻合口球囊扩张术。最初,手术显然是成功的,但随后出现了肺水肿,患儿在术后12小时死亡。经皮Waterston吻合口球囊扩张术在技术上是可行的,并且在某些患者中可能被证明是再次手术的替代方法。但是,需要更多的技术经验来确定球囊膨胀的最佳尺寸,并避免肺血流过度增加的风险。