Benito F, Sánchez C, Oliver J
Sección de Hemodinámica, Hospital La Paz, Madrid.
Rev Esp Cardiol. 1997 Dec;50(12):904-5. doi: 10.1016/s0300-8932(97)74697-9.
Late systemic venous baffle obstruction after Mustard repair for complete transposition of the great arteries is a recognized complication. Balloon-expandable intravascular stents have previously been used to relieve systemic baffle narrowing in children. We report a successful stent implantation to relieve symptomatic superior vena cava obstruction and baffle dehiscence after Mustard repair in an adult patient. She had been turned down for surgery due to right ventricular dysfunction. Eighteen months after the procedure, she remains symptomless.
对于大动脉完全转位采用Mustard修复术后出现的晚期体静脉挡板梗阻是一种公认的并发症。此前,球囊可扩张血管内支架已被用于缓解儿童体循环挡板狭窄。我们报告了一例成功植入支架缓解成年患者Mustard修复术后症状性上腔静脉梗阻和挡板裂开的病例。由于右心室功能障碍,她此前被拒绝手术。术后18个月,她仍无症状。