Successful stenting of the ductus venosus in 2 neonates with asplenia syndrome complicated by infracardiac type total anomalous pulmonary venous connection

Takashi Higaki MD , Eiichi Yamamoto MD , Takeshi Nakano MD , Masaaki Ohta MD , Hidemi Takata MD , Kikuko Murao MD , Toshiyuki Chisaka MD , Tomozo Moritani MD , Mitsugi Nagashima MD , Fumiaki Shikata MD , Eiichi Ishii MD
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引用次数: 6

Abstract

In the neonatal period, the surgical mortality of palliation is extremely high for asplenia syndrome complicated by single ventricle combined with total anomalous pulmonary venous connection (TAPVC). Recently, stent implantation for the pulmonary venous drainage route soon after birth has been used instead of surgery to prevent pulmonary venous occlusion and to maintain stable hemodynamics in the neonatal period or in early infancy. Here, we successfully implanted stents in the ductus venosus (DV) in 2 neonates with asplenia syndrome complicated by infracardiac type TAPVC. The first patient was a 3-day-old male neonate with severe cyanosis. Immediately after TAPVC was diagnosed, we implanted a stent in the DV. The second patient was a 0-day-old female neonate. She was diagnosed as TAPVC by fetal echocardiogram. After the scheduled delivery, a stent was successfully implanted. We believe that stent implantation in the DV in the neonatal period is effective and less invasive than surgery in patients with infracardiac type TAPVC.

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静脉导管支架置入术成功治疗2例新生儿脾功能不全合并心下型全肺静脉连接异常
在新生儿期,脾功能不全综合征合并单心室合并全肺静脉连接异常(TAPVC)的姑息手术死亡率极高。近年来,在新生儿期或婴儿期早期,为了防止肺静脉阻塞和维持稳定的血流动力学,在出生后不久的肺静脉引流途径中采用支架植入术代替手术。在此,我们成功地在静脉导管(DV)内植入了2例脾功能不全综合征合并心下型TAPVC的新生儿。第一位患者是一名3天大的男性新生儿,患有严重的紫绀。确诊TAPVC后,我们立即在DV内植入支架。第二例患者为0天大的女婴。胎儿超声心动图诊断为TAPVC。在预定的分娩后,支架被成功植入。我们认为,对于心下型TAPVC患者,新生儿期DV支架植入术比手术更有效,且创伤小。
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来源期刊
Journal of Cardiology Cases
Journal of Cardiology Cases Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.90
自引率
0.00%
发文量
177
审稿时长
59 days
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