Successful surgical management of cardiac tamponade following direct intrahepatic portosystemic shunt in a child with Budd-Chiari syndrome: A potentially life-threatening situation.

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Annals of Pediatric Cardiology Pub Date : 2023-09-01 Epub Date: 2024-04-01 DOI:10.4103/apc.apc_107_23
Anand Kumar Mishra, Meenakshi Mandal, Irshad R Mohamed, Sadhna Lal, Harish Bhujade
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引用次数: 0

Abstract

Direct intrahepatic portosystemic shunt is a technique of portocaval shunting performed through the percutaneous route in patients with Budd-Chiari syndrome. Stent migration into right-sided heart chambers or perforations causing hemopericardium and cardiac tamponade is rare and underreported. In a child with a coexisting decompensated liver disease, surgical intervention and cardiopulmonary bypass can be challenging. However, surgical management in these life-threatening situations is better than redo interventions.

成功通过手术治疗了一名患有巴德-卡氏综合征的儿童肝内门体系统直接分流术后的心脏填塞:可能危及生命的情况。
肝内门体系统直接分流术是一种通过经皮途径为巴德-卡氏综合征患者进行门腔分流的技术。支架移位至右侧心腔或穿孔导致血心包积血和心脏填塞的情况非常罕见,且报告不足。对于同时患有失代偿性肝病的患儿,外科干预和心肺旁路手术可能具有挑战性。然而,在这些危及生命的情况下,手术治疗比重新介入治疗效果更好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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