Fukada J, Koshino T, Yamamoto N, Harada H, Ueda M, Komatsu S
Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kushiro Hospital, Japan.
Kyobu Geka. 1994 Oct;47(11):924-7.
A 11-year-old boy, who had undergone the initial surgical repair for Coarctation complex at 6 months of age was readmitted to our hospital for radical correction. The initial repair at 6 months of age was patch angioplasty of coarctation, PDA division and PA banding. When he was 5 years old, a cardiac catheterization revealed spontaneous closure of VSD, restenosis of coarctation and RV outflow tract stenosis due to PA banding. This time he was treated with 2 steps of procedures. The first step was percutaneous transluminal angioplasty for restenosis of coarctation. Then RV outflow tract repair was performed at the second step. Postoperative course was uneventful.
一名11岁男孩,6个月大时因主动脉缩窄复合体接受了初次手术修复,现因根治性矫正再次入住我院。6个月大时的初次修复是主动脉缩窄补片血管成形术、动脉导管未闭结扎术和肺动脉环缩术。他5岁时,心脏导管检查显示室间隔缺损自发闭合、主动脉缩窄再狭窄以及肺动脉环缩导致的右心室流出道狭窄。此次他接受了两步手术。第一步是针对主动脉缩窄再狭窄进行经皮腔内血管成形术。第二步进行右心室流出道修复。术后过程顺利。