针对衰竭的Fontan生理状态的灾难性经导管挡板开窗术

Catastrophic transcatheter baffle fenestration for failing Fontan physiology.

作者信息

Henneveld H T, Hutter P, Hitchcock F J, Sreeram N

机构信息

Department of Cardiology, Wilhelmina Children's Hospital, Utrecht, The Netherlands.

出版信息

Ann Thorac Surg. 1998 Jan;65(1):268-70. doi: 10.1016/s0003-4975(97)01265-4.

DOI:10.1016/s0003-4975(97)01265-4

PMID:9456139

Abstract

Transcatheter fenestration and balloon dilation of an atrial baffle created from native atrial tissue was attempted in a 15-year-old girl with failing Fontan physiology and protein-losing enteropathy. After transseptal puncture, initial dilations with a 10-mm and 12-mm diameter balloon resulted in an inadequate fenestration, with no significant decrease of right atrial pressure or systemic arterial saturation. Dilation of the fenestration with a 16-mm-diameter balloon produced a tear of the atrial septum and subsequent death. Balloon dilation of native atrial tissue may result in uncontrolled tears of the atrial septum.

摘要

对于一名患有法洛四联症衰竭和蛋白丢失性肠病的15岁女孩，尝试了经导管对由天然心房组织制成的心房挡板进行开窗和球囊扩张。经房间隔穿刺后，先用直径10毫米和12毫米的球囊进行初始扩张，结果开窗不充分，右心房压力和体循环动脉血氧饱和度均无明显下降。用直径16毫米的球囊扩张开窗导致房间隔撕裂，随后患者死亡。天然心房组织的球囊扩张可能导致房间隔不受控制的撕裂。