Interventional stent implantation in a child with patent ductus venosus and pulmonary hypertension
Interventional stent implantation in a child with patent ductus venosus and pulmonary hypertension
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DOI：
10.1007/s004310100770
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发表时间：
2001-08-01
影响因子：
3.6
通讯作者：
Salzar-Muhar, U
中科院分区：
文献类型：
--
作者：
Marx, M;Huber, WD;Salzar-Muhar, U
我们报告一个罕见的情况下，4岁的男孩与开放静脉导管和肺动脉高压表现为进行性疲劳，呼吸急促，在休息和心动过速。心脏导管检查显示肺动脉系统上压，肺血管阻力严重升高。为了减小静脉导管的直径，介入性植入了支架，如预期的那样，2年后支架自发闭合。肺动脉压和肺血管阻力显着下降，一般情况下的男孩显着improved.Conclusion据我们所知，这是第一次成功的介入支架闭塞静脉导管未闭合并严重肺动脉高压的报告。未来将告诉这种干预是治愈性的还是代表后续肝移植的桥接程序。
We report on the rare case of a 4-year-old boy with patent ductus venosus and pulmonary hypertension presenting with progressive fatigue, tachypnoea at rest and tachycardia. Cardiac catheterisation revealed suprasystemic pressure in the pulmonary arteries with severely elevated pulmonary vascular resistance. In order to reduce the diameter of the ductus venosus, a stent was implanted interventionally, which closed, as expected, spontaneously 2 years later. Pulmonary arterial pressure and pulmonary vascular resistance decreased significantly and the general condition of the boy improved dramatically.Conclusion To the best of our knowledge, this represents the first report of successful interventional stent occlusion of a patent ductus venosus associated with severe pulmonary hypertension. The future will tell whether this intervention is curative or represents a bridging procedure for subsequent liver transplantation.