Danielle D Strah, Riley D Hellinger, Kwan S Lee, Michael D Seckeler
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引用次数: 0
摘要
冠状动脉分叉病变和双支架治疗技术已经发展起来,包括双吻(DK)粉碎技术。该技术在儿童或包括肺动脉在内的非冠状动脉血管中的应用尚未见报道。我们介绍了一名患有阿拉吉尔综合征、室间隔缺损(VSD)和复杂的双侧肺动脉(PA)狭窄的 12 岁女孩,为了改善她明显的右室高血压,她接受了六次导管插入术,进行了肺动脉成形术和支架植入术。在先天性和结构性团队的通力合作下,她成功地接受了 DK 压碎技术治疗 PA 的复杂病变。这改善了肺血流,并使手术成功关闭了 VSD。
Novel use of the double kissing crush technique to stent complex pulmonary artery stenosis in a child with Alagille syndrome.
Coronary bifurcation lesions and treatment with two-stent techniques have been developed, including the double kissing (DK) crush technique. The use of this technique in children or noncoronary vessels, including pulmonary arteries, has not been described. We present a 12-year-old girl with Alagille syndrome, a ventricular septal defect (VSD), and complex bilateral pulmonary artery (PA) stenoses who is status post six catheterizations for PA angioplasty and stenting to improve her marked right ventricular hypertension. With collaboration between the congenital and structural teams, she successfully underwent the DK crush technique for a complex lesion in her PA. This improved pulmonary flow and allowed for successful surgical VSD closure.