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经皮左肺动脉血栓切除术治疗动脉导管未闭结扎术后新生儿。

Successful Percutaneous Thrombectomy of the Left Pulmonary Artery in a Neonate After a Patent Ductus Arteriosus Clipping.

机构信息

Department of Pediatric Cardiology, Saitama Medical University International Medical Center.

Department of Pediatrics, Saitama Medical University Saitama Medical Center.

出版信息

Int Heart J. 2021 May 29;62(3):706-709. doi: 10.1536/ihj.20-533. Epub 2021 May 15.

DOI:10.1536/ihj.20-533
PMID:33994502
Abstract

We report a neonate with a successful percutaneous thrombectomy of a total thrombotic occlusion of the left pulmonary artery (LPA) after a surgical clipping for a patent ductus arteriosus (PDA). We suspected the compression of the LPA by the clipping and postoperative hemodynamic instability caused the LPA obstruction. After the surgical removal of the PDA clip and division of the PDA, we could safely retrieve the LPA thrombus with a non-hydrodynamic thrombectomy catheter for coronary arteries.

摘要

我们报告了一例新生儿病例，该患儿因动脉导管未闭（PDA）而行外科夹闭术后，左肺动脉（LPA）完全血栓形成，经皮血栓切除术获得成功。我们怀疑是夹闭术压迫 LPA 以及术后血流动力学不稳定导致 LPA 阻塞。在外科移除 PDA 夹并切断 PDA 后，我们可以安全地使用非动力性冠状动脉血栓切除术导管取出 LPA 血栓。

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