短右心室-肺动脉导管中Melody瓣膜的一种新型改良：病例报告
A Novel Modification of the Melody Valve in a Short Right Ventricle-Pulmonary Artery Conduit: A Case Report.
作者信息
Hesari Marjan, Bencheikh Nissma, Peterson Danica, Ryan Justin R, Shibbani Kamel, Fulk Clinton, El-Said Howaida
机构信息
Department of Pediatrics, University of California San Diego, La Jolla, California.
Division of Cardiology, Rady Children's Hospital-San Diego, San Diego, California.
出版信息
J Soc Cardiovasc Angiogr Interv. 2025 Jan 18;4(3Part A):102505. doi: 10.1016/j.jscai.2024.102505. eCollection 2025 Mar.
Pulmonary insufficiency often follows the surgical repair of tetralogy of Fallot, leading to adverse outcomes. Young patients with short right ventricle-pulmonary artery conduits are at risk of pulmonary artery branch occlusion when a traditional Melody valve (Medtronic) is used. We report a novel case of a folded Melody valve implanted with a simultaneous stent in a pediatric patient to address challenges posed by a short right ventricle-pulmonary artery conduit.
肺动脉闭锁不全常继发于法洛四联症的外科修复术后，会导致不良后果。使用传统的美敦力Melody瓣膜时，右心室-肺动脉导管较短的年轻患者有肺动脉分支闭塞的风险。我们报告了一例小儿患者，通过植入折叠式Melody瓣膜并同时置入支架，解决了右心室-肺动脉导管较短带来的挑战。
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