Massin M, Trippaerts M
Division of Paediatric Cardiology, CHR Citadelle, Liège.
Acta Cardiol. 1998;53(4):219-21.
We describe a 1-month-old infant who developed a cardiogenic shock. Echocardiography suspected an aortic coarctation. Left brachial artery counter-current aortography gave safe and adequate imaging of the aortic coarctation. We see many advantages to this approach: (1) most complications associated with classical cardiac catheterization are significantly reduced, (2) adequate imaging of coarctation, anatomy of the aortic arch and eventually collateral circulation is obtained, (3) the volume of contrast is reduced, (3) increased risk of femoral artery injury is avoided, (4) the procedure lasts only a few minutes, and (5) no sedation is needed. We conclude that left brachial artery counter-current aortography is a safe, quick and relatively non-invasive procedure which can be used in infants in whom clinical, cross-sectional, and Doppler echocardiographic findings are suggestive but not conclusive of anomalies of the aortic arch, especially when magnetic resonance imaging is not available or cannot be performed safely because the infant is critically ill.
我们描述了一名1个月大发生心源性休克的婴儿。超声心动图怀疑有主动脉缩窄。左肱动脉逆流主动脉造影对主动脉缩窄进行了安全且充分的成像。我们认为这种方法有许多优点：（1）与传统心脏导管插入术相关的大多数并发症显著减少；（2）获得了缩窄、主动脉弓解剖结构以及最终侧支循环的充分成像；（3）造影剂用量减少；（4）避免了股动脉损伤风险增加；（5）该操作仅持续几分钟；（6）无需镇静。我们得出结论，左肱动脉逆流主动脉造影是一种安全、快速且相对无创的操作，可用于临床、横断面和多普勒超声心动图检查结果提示但不能确诊主动脉弓异常的婴儿，特别是当无法进行磁共振成像或因婴儿病情危重而不能安全进行磁共振成像时。
