经导管开窗扩张和/或在Fontan术后患者中创建开窗
Transcatheter fenestration dilation and/or creation in postoperative Fontan patients.
作者信息
Kreutzer J, Lock J E, Jonas R A, Keane J F
机构信息
Department of Cardiology, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
出版信息
Am J Cardiol. 1997 Jan 15;79(2):228-32. doi: 10.1016/s0002-9149(96)00723-0.
There are very few therapeutic options for severely symptomatic Fontan patients after spontaneous complete or virtual fenestration closure. Its reopening in 14 such patients led to dramatic hemodynamic improvement in most. The clinical experience with transcatheter fenestration creation and/or dilation in symptomatic Fontan patients is reported demonstrating feasibility, safety, and a novel management option for these patients.
对于自发完全或近乎完全闭合开窗的有严重症状的Fontan患者，治疗选择非常有限。在14例此类患者中重新打开开窗，多数患者的血流动力学得到显著改善。本文报告了有症状的Fontan患者经导管创建和/或扩张开窗的临床经验，证明了其可行性、安全性以及为这些患者提供了一种新的管理选择。
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