小儿fontan姑息治疗后的大支架开窗经导管复位。

IF 0.9 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiology in the Young Pub Date : 2025-05-01 Epub Date: 2025-06-20 DOI:10.1017/S1047951125001751

Judyta Szeliga, Maksym Lazu, Sebastian Góreczny

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引用次数: 0

摘要

分阶段Fontan通路治疗是一种公认的手术方法来管理先天性心脏病变与单心室生理。有些病人需要隧道和心房之间的通信来维持循环平衡。在随访期间，可能需要调整开窗大小。虽然扩大或完全关闭开窗的方法很常见，但部分减少通过开窗的流量仍然具有挑战性。我们提出了一种有效的技术，部分减少大小的大，支架开窗使用冠状动脉支架和血管闭塞器。

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Transcatheter reduction of a large, stented fenestration in a paediatric patient post-Fontan palliation.

Staged Fontan pathway treatment is a recognised surgical approach for managing congenital heart lesions with single ventricle physiology. Some patients necessitate communication between the tunnel and the atrium to maintain circulatory balance. During follow-up, adjustments to fenestration size may be required. While methods for enlarging or completely closing fenestrations are common, partially reducing flow through a fenestration remains challenging. We present an effective technique for partially reducing the size of a large, stented fenestration using a coronary stent and a vascular occluder.

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来源期刊

Cardiology in the Young 医学-小儿科

CiteScore

1.70

自引率

10.00%

发文量

715

审稿时长

4-8 weeks

期刊介绍： Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.