单室心脏缓和术，在1.6 kg时夹闭右心室至肺动脉分流:1例报告

IF 0.6 Q4 PEDIATRICS

PROGRESS IN PEDIATRIC CARDIOLOGY Pub Date : 2023-09-01 DOI:10.1016/j.ppedcard.2023.101656

Toshi Maeda , Hisao Nagato , Kotaro Inaguma , Kosuke Yoshizawa , Otohime Mori

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引用次数: 0

摘要

一名体重较低的女婴被诊断为右心室双出口、肺动脉闭锁、左心室发育不全和动脉导管未闭。我们在39天大（1622 g）时使用Dunk技术，用环状膨胀聚四氟乙烯移植物（5 mm）进行了右心室至肺动脉分流。分流器被夹住以调节肺血流量。术后4个月使用球囊血管成形术取出夹子。之后，患者在3岁时的第三次手术中接受了Fontan手术，没有开窗。在她的疗程中，她不需要肺动脉成形术或肺动脉球囊成形术。

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Univentricular heart palliation with clipped right ventricle-to-pulmonary artery shunt at 1.6 kg: A case report

A female infant with low body weight was diagnosed with double outlet right ventricle, pulmonary atresia, hypoplastic left ventricle, and patent ductus arteriosus. We performed a right ventricle-to-pulmonary artery shunt with a ringed expanded polytetrafluoroethylene graft (5 mm) using the Dunk technique at the age of 39 days (1622 g). The shunt was clipped to regulate the pulmonary blood flow. The clips were dislodged using balloon angioplasty 4 months postoperatively. Afterward, the patient underwent a Fontan procedure without fenestration during the third operation at the age of 3 years. She did not require pulmonary artery plasty or balloon angioplasty for the pulmonary artery during her course.

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来源期刊

PROGRESS IN PEDIATRIC CARDIOLOGY PEDIATRICS-

CiteScore

0.90

自引率

11.10%

发文量

审稿时长

75 days

期刊介绍： Progress in Pediatric Cardiology is an international journal of review presenting information and experienced opinion of importance in the understanding and management of cardiovascular diseases in children. Each issue is prepared by one or more Guest Editors and reviews a single subject, allowing for comprehensive presentations of complex, multifaceted or rapidly changing topics of clinical and investigative interest.