介入主动脉支架桥接外科矫治术治疗危重新生儿主动脉缩窄1例  

Successful percutaneous aortic stent implantation as the bridge to surgical treatment in a critically ill neonate with coarctation of the aorta

作　　者：李翔 李晓[2] 李侨[1] 冯沅[1] LI Xiang;LI Xiao;LI Qiao;FENG Yuan(Department of Cardiovascular Medicine,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院心血管内科,四川成都610041 [2]四川大学华西医院心脏大血管外科,四川成都610041

出　　处：《中国介入心脏病学杂志》2023年第9期714-716,共3页Chinese Journal of Interventional Cardiology

摘　　要：主动脉缩窄(CoA)是一种较为常见的先天性血管畸形,新生儿和低龄婴幼儿CoA首选外科手术治疗,但对危重CoA患儿,介入治疗方式是有效的补充可选方式之一。本病例报道CoA新生儿,因降主动脉极度狭窄而出现严重的左心衰竭,通过介入的方式于降主动脉缩窄部置入支架进行初步治疗使患儿度过危险期,患儿于4月龄时成功接受了外科矫治术。目前患儿术后2年复查,恢复良好。Coarctation of the aorta(CoA)is a relatively common congenital vascular malformation,and surgical treatment is preferred in neonates and young infants with CoA,but for critically ill children with CoA,interventional therapy is one of the most effective complementary options.This example describes a neonatal CoA with severe heart failure due to extreme stenosis of the descending aorta,and the initial treatment of a stent at the coarctation of the descending aorta was used to overcome the risk period,and the child successfully underwent surgical correction at 4 months of age.At present,the child is re-examined 2 years after surgery and recovers well.

关 键 词：危重新生儿 主动脉缩窄 支架置入 

分 类 号：R541[医药卫生—心血管疾病]