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经导管封堵有症状的左向右分流的动脉导管未闭

Transcatheter Occlusion of a Patent Ductus Arteriosus for a Symptomatic Left-to-Right Shunt.

作者信息

Keita Papus, Han Frank, Peterman Nicholas J, Toledo Sandor, Munaco Anthony

机构信息

Surgery, Carle Foundation Hospital, Urbana, USA.

Pediatric Cardiology, University of Illinois Hospital, Chicago, USA.

出版信息

Cureus. 2022 May 4;14(5):e24733. doi: 10.7759/cureus.24733. eCollection 2022 May.

Abstract

Congenital diaphragmatic hernias (CDH) can induce life-threatening pulmonary hypertension and right heart failure. The patent ductus arteriosus (PDA) is often maintained in CDH to allow for decompression into the systemic circulation. However, if the PDA becomes hemodynamically significant, PDA closure may be indicated. Traditional methods rely on pharmacological closure. In this report, we document a rare transcatheter closure of a hemodynamically significant PDA.

摘要

先天性膈疝(CDH)可引发危及生命的肺动脉高压和右心衰竭。动脉导管未闭(PDA)在CDH中常持续存在,以允许血液减压进入体循环。然而,如果PDA在血流动力学上变得显著,可能需要关闭PDA。传统方法依赖药物封堵。在本报告中,我们记录了一例罕见的经导管封堵具有血流动力学意义的PDA的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e52/9165916/c7a2b2c53cd9/cureus-0014-00000024733-i01.jpg

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本文引用的文献

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Pediatr Neonatol. 2020 Apr;61(2):133-141. doi: 10.1016/j.pedneo.2019.10.002. Epub 2019 Oct 29.
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Arch Dis Child Fetal Neonatal Ed. 2014 Sep;99(5):F431-6. doi: 10.1136/archdischild-2014-306176. Epub 2014 Jun 5.
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A randomised placebo-controlled trial of early treatment of the patent ductus arteriosus.随机安慰剂对照试验:早期治疗动脉导管未闭。
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