Prakoso Radityo, Sembiring Aditya Agita, Hernisa Latifa, Mendel Brian, Lelya Olfi, Lilyasari Oktavia
Department of Cardiology and Vascular Medicine, Division of Pediatric Cardiology and Congenital Heart Disease, National Cardiovascular Center Harapan Kita, Universitas Indonesia, Jakarta, Indonesia.
Division of Pediatric and Congenital Heart Surgery, National Cardiovascular Centre of Harapan Kita, Universitas Indonesia, Jakarta, Indonesia.
Front Cardiovasc Med. 2023 Jan 25;9:1084170. doi: 10.3389/fcvm.2022.1084170. eCollection 2022.
A three-month-old baby boy (5. 4 Kg) with pulmonary atresia, subaortic ventricular septal defect (VSD), and patent ductus arteriosus (PDA) was sent for ductal stenting from the femoral vein. The route to the PDA was extremely tortuous and the procedure was complicated with a stent stuck in the abdominal inferior vena cava (IVC). Transfemoral stent recapture was technically laborious and the stent was successfully recaptured across a 10-Fr right atrial appendage (RAA) hybrid access avoiding a cardiopulmonary bypass (CBP). The PDA was subsequently stented for the femoral artery with satisfactory clinical outcomes.
一名患有肺动脉闭锁、主动脉下室间隔缺损（VSD）和动脉导管未闭（PDA）的三个月大男婴（体重5.4千克）从股静脉被送去进行导管支架置入术。通往动脉导管未闭的路径极其曲折，手术过程中出现支架卡在腹部下腔静脉（IVC）的复杂情况。经股动脉回收支架技术难度大，最终通过10F右心耳（RAA）混合入路成功回收支架，避免了体外循环（CBP）。随后通过股动脉对动脉导管未闭进行了支架置入，临床效果令人满意。
