经导管肺动脉瓣置换术后左心房高压及呼吸衰竭需静脉-动脉体外膜肺氧合支持
Left Atrial Hypertension and Respiratory Failure Requiring Venoarterial ECMO After Transcatheter Pulmonary Valve Replacement.
作者信息
O'Halloran Conor P, Fox Jeremy, Ramlogan Sandhya R, De Freitas Andrew, Nugent Alan W, Tannous Paul
机构信息
Division of Pediatric Cardiology, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
出版信息
JACC Case Rep. 2023 Nov 9;28:102125. doi: 10.1016/j.jaccas.2023.102125. eCollection 2023 Dec 20.
Abstract
A 33-year-old woman with aortic valve stenosis status-post Ross at age 6 years developed symptomatic right heart failure from right ventricle to pulmonary artery conduit stenosis. Conduit rehabilitation and transcatheter pulmonary valve replacement resulted in acute left atrial hypertension and respiratory failure requiring venoarterial extracorporeal membrane oxygenation and atrial septal defect creation as a bridge to recovery.
摘要
一名33岁女性，6岁时接受Ross手术治疗主动脉瓣狭窄，现因右心室至肺动脉管道狭窄出现症状性右心衰竭。管道修复及经导管肺动脉瓣置换术后导致急性左房高压和呼吸衰竭，需要进行静脉-动脉体外膜肺氧合，并创建房间隔缺损作为恢复的桥梁。
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