杂交杂交体：为一名患有左心发育不全综合征的儿童进行心脏移植的“意外桥梁” 。

Hybridizing the hybrid: a "serendipitous bridge" to heart transplantation in a child with hypoplastic left heart syndrome.

作者信息

Rawtani Sanjog, Reis Misty, Gandhi Sanjiv K

机构信息

Division of Pediatric Cardiovascular and Thoracic Surgery, BC Children's Hospital, 4480 Oak St, Suite AB307, Vancouver, British Columbia V6H 3V4 Canada.

出版信息

Indian J Thorac Cardiovasc Surg. 2021 May;37(3):345-347. doi: 10.1007/s12055-020-01088-8. Epub 2021 Jan 9.

DOI:10.1007/s12055-020-01088-8

PMID:33967429

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8079472/

Abstract

UNLABELLED

We report a unique experience with stage 1 palliation of hypoplastic left heart syndrome (HLHS) using the hybrid approach. The tortuous anatomy of the ductus arteriosus precluded stenting. Persistent ductal patency and ability to support the systemic circulation adequately after prolonged prostaglandin E1 (PGE1) infusion and its subsequent discontinuation presented us with a novel approach to hybrid palliation of hypoplastic left heart syndrome. Our experience offers a tempting approach, but it should not be considered a standard alternative management option to stage I hybrid palliation based on a single case report.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s12055-020-01088-8.

摘要

未标注

我们报告了使用杂交方法对左心发育不全综合征（HLHS）进行一期姑息治疗的独特经验。动脉导管迂曲的解剖结构妨碍了支架置入。在长时间输注前列腺素E1（PGE1）及其随后停药后，动脉导管持续通畅且有能力充分支持体循环，这为我们提供了一种杂交姑息治疗左心发育不全综合征的新方法。我们的经验提供了一种诱人的方法，但基于单个病例报告，不应将其视为一期杂交姑息治疗的标准替代管理选项。

补充信息

在线版本包含可在10.1007/s12055-020-01088-8获取的补充材料。

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Hybridizing the hybrid: a "serendipitous bridge" to heart transplantation in a child with hypoplastic left heart syndrome.杂交杂交体：为一名患有左心发育不全综合征的儿童进行心脏移植的“意外桥梁” 。

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本文引用的文献

Giessen Procedure as Comprehensive Stage II Palliation With Aortic Arch Reconstruction After Hybrid Bilateral Pulmonary Artery Banding and Ductal Stenting for Hypoplastic Left Heart Syndrome.吉森手术作为左心发育不全综合征经双侧肺动脉环缩及动脉导管支架置入杂交手术后二期综合姑息治疗并主动脉弓重建的方法

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2018 Mar;21:19-27. doi: 10.1053/j.pcsu.2017.11.007.

Hybrid Procedure for Neonates With Hypoplastic Left Heart Syndrome at High-Risk for Norwood: Midterm Outcomes.诺伍德手术高风险的左心发育不全综合征新生儿的杂交手术：中期结果

Ann Thorac Surg. 2015 Dec;100(6):2286-90; discussion 2291-2. doi: 10.1016/j.athoracsur.2015.06.098. Epub 2015 Oct 1.

Bilateral pulmonary artery banding for resuscitation in high-risk, single-ventricle neonates and infants: a single-center experience.高危单心室新生儿和婴儿的双侧肺动脉带扎术复苏：单中心经验。

J Thorac Cardiovasc Surg. 2013 Jan;145(1):206-13; discussion 213-4. doi: 10.1016/j.jtcvs.2012.09.063.

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Morphologic features of the ductus arteriosus after prostaglandin E1 administration for ductus-dependent congenital heart defects.给予前列腺素E1治疗动脉导管依赖性先天性心脏病后动脉导管的形态学特征。

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