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动脉调转术后肺动脉支架导致冠状动脉受压:冠状动脉压迫试验的一个新适应证。

Coronary artery compression by pulmonary artery stenting after arterial switch operation: a novel indication for coronary compression test.

机构信息

Medical and Surgical Department of Pediatric Cardiology, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome.

出版信息

Cardiol Young. 2023 Aug;33(8):1468-1470. doi: 10.1017/S1047951122004292. Epub 2023 Feb 1.

Abstract

Pulmonary artery stenosis is one of the most common complications after arterial switch operation. Stent implantation is an effective treatment with some risks related to coronary artery compression. We present the case of a patient affected by pulmonary stenosis after arterial switch operation. Coronary compression testing demonstrated compression of the left coronary artery from the balloon inflated in the left pulmonary artery. We should systematically consider the use of coronary balloon testing before stent implantation in patients with a history of switch operation.

摘要

肺动脉狭窄是动脉调转手术后最常见的并发症之一。支架植入是一种有效的治疗方法,但存在与冠状动脉受压相关的风险。我们报告了一例动脉调转手术后发生肺动脉狭窄的患者。冠状动脉压迫测试显示,左肺动脉内充气的球囊压迫左冠状动脉。对于有调转手术史的患者,在进行支架植入前应系统考虑进行冠状动脉球囊测试。

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