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经皮冠状动脉介入治疗在大动脉转位动脉切换手术后 4 个月大婴儿的两支冠状动脉狭窄。

Percutaneous coronary intervention in a 4-month-old infant for stenosis of both coronary arteries after arterial switch operation for transposition of the great arteries.

机构信息

Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Cardiol Young. 2021 Dec;31(12):2019-2021. doi: 10.1017/S1047951121001876. Epub 2021 May 17.

Abstract

We present a case of percutaneous coronary intervention in a 4-month-old infant with both severe coronary stenosis and acute heart failure after arterial switch operation for transposition of the great arteries. Under extracorporeal membrane oxygenation, balloon angioplasty of the left coronary artery with a 2.0 × 15-mm balloon and stent implantation on the right coronary artery with a 2.25 × 26-mm stent were performed successfully. Echocardiography after the intervention showed recovered cardiac function and no complications.

摘要

我们报告了一例 4 个月大婴儿的经皮冠状动脉介入治疗病例,该婴儿在大动脉转位的动脉切换手术后出现严重的冠状动脉狭窄和急性心力衰竭。在体外膜肺氧合支持下,成功地对左冠状动脉进行了 2.0×15mm 球囊扩张和对右冠状动脉进行了 2.25×26mm 支架植入术。介入治疗后的超声心动图显示心功能恢复正常,无并发症。

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