Srivatsav Ashwin, Eilers Lindsay, Montero Miguel, Stapleton Gary
Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Department of Pediatric Cardiology, Texas Children's Hospital, Houston, TX, USA.
Cardiol Young. 2023 Dec;33(12):2678-2680. doi: 10.1017/S1047951123003645. Epub 2023 Oct 18.
Vascular access-related complications are an important consideration in patients undergoing cardiac catheterisation. Patients with CHD are increasingly undergoing percutaneous treatment for suitable procedures as an alternative, less invasive option to surgical intervention. As such, recognition and treatment of these complications are becoming increasingly important. We present a case of a patient with repaired Tetralogy of Fallot who developed a femoral arteriovenous fistula and femoral artery pseudoaneurysm arising from an accessory arterial branch following percutaneous Harmony valve implantation, both of which were treated endovascularly with placement of a stent.
血管通路相关并发症是接受心脏导管插入术患者的一个重要考量因素。患有冠心病的患者越来越多地接受经皮治疗以进行合适的手术，作为手术干预的一种替代的、侵入性较小的选择。因此，识别和治疗这些并发症变得越来越重要。我们报告一例法洛四联症修补术后患者的病例，该患者在经皮植入Harmony瓣膜后，因一条副动脉分支出现股动静脉瘘和股动脉假性动脉瘤，二者均通过放置支架进行血管腔内治疗。
