Successful stenting of the ductus venosus in 2 neonates with asplenia syndrome complicated by infracardiac type total anomalous pulmonary venous connection.
Successful stenting of the ductus venosus in 2 neonates with asplenia syndrome complicated by infracardiac type total anomalous pulmonary venous connection.
复制标题
成功对2例新生儿无脾综合征并发心下型完全性肺静脉异位引流进行静脉导管支架置入术。
DOI：
10.1016/j.jccase.2009.10.004
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发表时间：
2010
影响因子：
--
通讯作者：
E. Ishii
中科院分区：
文献类型：
--
作者：
T. Higaki;Eiichi Yamamoto;Takeshi Nakano;Masaaki Ohta;Hidemi Takata;Kikuko Murao;Toshiyuki Chisaka;T. Moritani;M. Nagashima;F. Shikata;E. Ishii
在新生儿期，无脾综合征合并单心室合并完全性肺静脉异位联管（TAPVC）的姑息手术死亡率极高。近年来，出生后不久采用肺静脉引流支架植入术代替手术，以防止肺静脉闭塞并维持新生儿期或婴儿早期的血流动力学稳定。在这里，我们成功地将支架植入 2 例合并心下型 TAPVC 的无脾综合征新生儿的静脉导管 (DV) 中。第一位患者是一名出生3天的男性新生儿，出现严重紫绀。诊断出 TAPVC 后，我们立即在 DV 中植入支架。第二名患者是一名0日龄女新生儿。经胎儿超声心动图诊断为TAPVC。预定的分娩后，支架成功植入。我们认为，对于心下型 TAPVC 患者，新生儿期 DV 支架植入是有效的，并且比手术侵入性更小。
In the neonatal period, the surgical mortality of palliation is extremely high for asplenia syndrome complicated by single ventricle combined with total anomalous pulmonary venous connection (TAPVC). Recently, stent implantation for the pulmonary venous drainage route soon after birth has been used instead of surgery to prevent pulmonary venous occlusion and to maintain stable hemodynamics in the neonatal period or in early infancy. Here, we successfully implanted stents in the ductus venosus (DV) in 2 neonates with asplenia syndrome complicated by infracardiac type TAPVC. The first patient was a 3-day-old male neonate with severe cyanosis. Immediately after TAPVC was diagnosed, we implanted a stent in the DV. The second patient was a 0-day-old female neonate. She was diagnosed as TAPVC by fetal echocardiogram. After the scheduled delivery, a stent was successfully implanted. We believe that stent implantation in the DV in the neonatal period is effective and less invasive than surgery in patients with infracardiac type TAPVC.