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Transcatheter therapy of combined congenital heart diseases in children / 浙江大学学报·医学版
Article in Chinese | WPRIM | ID: wpr-332149
Responsible library: WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the methods of interventional catheterization for combined congenital heart disease and to evaluate its efficacy in children.</p><p><b>METHODS</b>From March 1994 to December 2003, 15 cases (6 boys, 9 girls) underwent transcatheter intervention for combined congenital heart diseases. The procedure of transcatheter intervention was as follows: for pulmonary stenosis (PS) and atrial septal defect (ASD) or patent ductus arteriosus (PDA), PBPV first, occlusion of ASD or PDA later; for coarctation of aorta (COA) and PDA, dilation of COA first, occlusion of PDA 4-15 months later; for aortic stenosis (AS) and PDA, PBAV first, occlusion of PDA later; for ventricular septal defect (VSD) and PDA, all occlusions with detachable coils.</p><p><b>RESULT</b>Transcatheter intervention for combined congenital heart diseases was successful in all patients. There was no residual shunt after occlusion immediately apart from 2 cases of PDA which were little residual after occlusion immediately. Follow-up for (3.57 +/-2.61) years, the systolic pressure gradients across pulmonary valve and coarctation were normal by ultrasonic or transcatheter, except AS. There was 3 cases presented postoperative complications: 1 with mechanical haemolysis, 1 with fall off of coil and 1 with arterial embolism, respectively.</p><p><b>CONCLUSION</b>Transcatheter intervention for combined congenital heart diseases could obtain satisfactory results with appropriate indications and procedure manipulations.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Pulmonary Valve Stenosis / General Surgery / Abnormalities, Multiple / Female / Humans / Male / Catheterization / Cardiac Catheterization / Child / Child, Preschool Language: Chinese Journal: Journal of Zhejiang University. Medical sciences Year: 2006 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pulmonary Valve Stenosis / General Surgery / Abnormalities, Multiple / Female / Humans / Male / Catheterization / Cardiac Catheterization / Child / Child, Preschool Language: Chinese Journal: Journal of Zhejiang University. Medical sciences Year: 2006 Type: Article