大动脉转位Mustard手术后上腔静脉完全梗阻的球囊扩张术

Abdulhamed J M, al Yousef S, Khan M A, Mullins C

Department of Paediatric Cardiology, Armed Forces Cardiac Centre, Riyadh, Kingdom of Saudi Arabia.

Br Heart J. 1994 Nov;72(5):482-5. doi: 10.1136/hrt.72.5.482.

Balloon dilatation was successfully performed in two patients with complete obstruction of the superior vena cava baffle junction after a Mustard operation for transposition of the great arteries. Evidence for complete relief of obstruction in the first patient, aged 4 years, was obtained by angiography, which showed improved calibre at the site of obstruction and improved haemodynamic pressure measurement after the balloon dilatation. In the second patient, aged 14 years, the relief was incomplete; in this patient a 3 cm long 3 mm diameter Palmaz stent was successfully implanted.

在两名大动脉转位行Mustard手术后上腔静脉挡板连接处完全梗阻的患者中成功进行了球囊扩张术。对于第一名4岁患者，血管造影显示梗阻部位管径改善以及球囊扩张术后血流动力学压力测量结果改善，从而证实梗阻已完全解除。在第二名14岁患者中，梗阻解除不完全；在该患者中成功植入了一枚3厘米长、直径3毫米的Palmaz支架。