经导管肺动脉瓣成形术后医源性主动脉-右心室瘘。

IF 0.6 Q3 Medicine

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-09-01 Epub Date: 2025-09-15 DOI:10.1177/02184923251376059

Norito Miura, Maiko Tachi, Shoichi Suehiro, Kenji Yasuda, Shigeki Nakashima, Tomohiro Nakata

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引用次数: 0

摘要

我们报告一例成人医源性主动脉-右心室瘘，是在双出口右心室最终修复后，经皮经导管肺动脉瓣成形术中使用Mustang®双球囊治疗肺动脉瓣狭窄后发生的。在门诊随访中，超声心动图和增强计算机断层扫描检测到主动脉根部和右心室流出道之间的异常分流。经心导管测得肺动脉血流与全身血流之比为1.64。我们成功地完成了主动脉-右心室瘘的补片闭合，同时进行了肺动脉瓣置换术和三尖瓣成形术。

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Iatrogenic aorto-right ventricular fistula after transcatheter pulmonary valvuloplasty.

We present an adult case of iatrogenic aorto-right ventricular fistula that developed after percutaneous transcatheter pulmonary valvuloplasty for pulmonary valve stenosis using Mustang® double balloons following definitive repair of double outlet right ventricle. At outpatient follow-up, an abnormal shunt between the aortic root and the right ventricular outflow tract was detected by echocardiography and enhanced computed tomography. The ratio of pulmonic to systemic blood flow was measured at 1.64 by cardiac catheterization. We successfully performed patch closure of the aorto-right ventricular fistula, concomitant with pulmonary valve replacement and tricuspid valvuloplasty.

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来源期刊

ASIAN CARDIOVASCULAR & THORACIC ANNALS Multiple-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The Asian Cardiovascular and Thoracic Annals is an international peer-reviewed journal pertaining to cardiovascular and thoracic medicine. Besides original clinical manuscripts, we welcome research reports, product reviews, reports of new techniques, and findings of special significance to Asia and the Pacific Rim. Case studies that have significant novel original observations, are instructive, include adequate methodological details and provide conclusions. Workshop proceedings, meetings and book reviews, letters to the editor, and meeting announcements are encouraged along with relevant articles from authors.