Transcatheter management of superior vena cava obstruction following cardiac surgery: A case report from a resource-limited set-up.

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Annals of Pediatric Cardiology Pub Date : 2024-03-01 Epub Date: 2024-07-20 DOI:10.4103/apc.apc_34_24
Nurul Islam, Siddhartha Saha
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Abstract

Obstruction of the superior vena cava (SVC) is a rare complication after cardiac surgery in infants and children. We present the case of an 8-year-old boy who underwent bi-directional Glenn shunt followed by takedown of Glenn shunt and complete repair for cyanotic congenital heart disease. After 4 years of surgery, the child developed features of superior vena caval (SVC) syndrome. Echocardiography and CT angiography revealed complete obstruction of SVC without any forward flow. Transcatheter intervention was performed successfully to re-canalize and stent the SVC to maintain its patency. The patient was doing well at follow-up appointments, with good laminar flow through the stent. In conclusion, transcatheter management of post cardiac surgery SVC obstruction was successful in this patient.

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心脏手术后上腔静脉阻塞的经导管治疗:来自资源有限地区的病例报告。
上腔静脉(SVC)阻塞是婴幼儿心脏手术后的罕见并发症。我们介绍了一例 8 岁男孩的病例,他因紫绀型先天性心脏病接受了双向格伦分流术,随后又进行了格伦分流术的拆除和完全修补术。手术 4 年后,患儿出现了上腔静脉(SVC)综合征的特征。超声心动图和 CT 血管造影显示 SVC 完全阻塞,没有任何前向血流。成功实施了经导管介入治疗,对 SVC 进行了重新闭塞和支架植入,以保持其通畅。患者在复诊时表现良好,支架内的层流状况良好。总之,经导管治疗心脏手术后SVC阻塞在这名患者身上取得了成功。
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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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