Transcatheter management of combined patent ductus arteriosus and left pulmonary artery stenosis in congenital rubella syndrome: A series of three patients and an insight into case selection for intervention.

先天性风疹综合征合并动脉导管未闭和左肺动脉狭窄的经导管管理 ： 三例患者系列和干预病例选择的见解。

• 发表时间: Mar-Apr 2022
• 来源期刊: Ann Pediatr Cardiol
• DOI: 10.4103/apc.apc_232_20
• PMID: 36246753
• 文章类型: Case Reports
• 作者列表: Roy M,Gangopadhyay D,Goyel N,Chattopadhyay A,Bandyopadhyay B,Roy M,Gangopadhyay D,Goyel N,Chattopadhyay A,Bandyopadhyay B

关键词: Branch pulmonary artery stenosis; congenital rubella syndrome; patent ductus arteriosus; stenting; transcatheter intervention; Branch pulmonary artery stenosis; congenital rubella syndrome; patent ductus arteriosus; stenting; transcatheter intervention

Abstract

Transcatheter closure of patent ductus arteriosus (PDA) is now the standard of care with some exceptions. Best treatment for peripheral pulmonary artery (PA) stenosis in small children is still debatable. Surgical augmentation, balloon dilatation, and stenting are the available options with each having its own risks and limitations. Here, we are reporting complete transcatheter management of three cases of congenital rubella syndrome who had PDA and left branch PA stenosis by device closure and stent placement, with successful outcome in two cases and complication, leading to surgery in one. We also share our understanding of case selection for a better outcome.

摘要

经导管封堵动脉导管未闭（PDA）现已成为护理标准，但有一些例外。儿童外周肺动脉（PA）狭窄的最佳治疗方法仍有争议。手术增强，气球扩张，和支架是可用的选择，每个都有自己的风险和局限性。这里,我们报告了3例先天性风疹综合征患者的完整的经导管治疗，这些患者通过封堵器和支架置入导致PDA和左分支PA狭窄。有两个病例的成功结果和并发症，导致一个手术。我们还分享我们对案例选择的理解，以获得更好的结果。