Transcatheter therapy of combined congenital heart diseases in children / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
; (6): 327-330, 2006.
Article
en Zh
| WPRIM
| ID: wpr-332149
Biblioteca responsable:
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>
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Índice:
WPRIM
Asunto principal:
Estenosis de la Válvula Pulmonar
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Cirugía General
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Anomalías Múltiples
/
Cateterismo
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Cateterismo Cardíaco
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Estudios de Seguimiento
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Conducto Arterioso Permeable
/
Cardiopatías Congénitas
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Defectos del Tabique Interatrial
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Defectos del Tabique Interventricular
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
Zh
Revista:
Journal of Zhejiang University. Medical sciences
Año:
2006
Tipo del documento:
Article