Department of Women's and Children's Health, University of Padua, Italy.
Department of Cardiac Thoracic and Vascular Sciences and Public Health, University of Padua, Italy.
Cardiol Young. 2023 Sep;33(9):1738-1740. doi: 10.1017/S104795112300046X. Epub 2023 Mar 17.
A 6-month-old baby girl, with a history of 2 months of intensive care management and two episodes of cardiac arrest, was transferred from another European country to initiate the "Giessen approach" for end-stage heart failure in children. At the admission, left ventricular ejection fraction was 20%. Severe mitral valve regurgitation and severe left atrial dilatation were present. Right ventricular function was preserved, and tricuspid valve regurgitation was mild. As a result, the patient underwent surgical pulmonary artery banding. Additionally, unloading of the left atrium was achieved by implanting an 8 mm atrial flow regulator device through a hybrid per-atrial approach. Two months after the procedure, the patient was progressively weaned from the inotropes and transferred to the ward.
一名 6 个月大的女婴，曾在另一个欧洲国家接受了 2 个月的重症监护管理，并经历了两次心脏骤停，被转来采用“吉森方法”治疗儿童终末期心力衰竭。入院时，左心室射血分数为 20%。存在严重的二尖瓣反流和严重的左心房扩张。右心室功能正常，三尖瓣反流轻度。因此，患者接受了肺动脉带缩术。此外，通过经房间隔杂交入路植入 8 毫米的房流调节装置，实现了左心房的卸载。手术后 2 个月，患者逐渐停止使用正性肌力药物，并转至病房。
