Novel use of the double kissing crush technique to stent complex pulmonary artery stenosis in a child with Alagille syndrome.

双吻挤压技术在 Alagille 综合征患儿中支架复杂肺动脉狭窄的新应用。

• 发表时间: 2023 Jul-Aug
• 来源期刊: Ann Pediatr Cardiol
• DOI: 10.4103/apc.apc_60_23
• PMID: 38343512
• 文章类型: Case Reports
• 作者列表: Strah DD,Hellinger RD,Lee KS,Seckeler MD

关键词: Alagille syndrome; bifurcation stenting; double kissing crush; pulmonary artery stenosis; stent

Abstract

Coronary bifurcation lesions and treatment with two-stent techniques have been developed, including the double kissing (DK) crush technique. The use of this technique in children or noncoronary vessels, including pulmonary arteries, has not been described. We present a 12-year-old girl with Alagille syndrome, a ventricular septal defect (VSD), and complex bilateral pulmonary artery (PA) stenoses who is status post six catheterizations for PA angioplasty and stenting to improve her marked right ventricular hypertension. With collaboration between the congenital and structural teams, she successfully underwent the DK crush technique for a complex lesion in her PA. This improved pulmonary flow and allowed for successful surgical VSD closure.

摘要

冠状动脉分叉病变和双支架治疗技术已经发展，包括双吻（DK）挤压技术。在儿童或非冠状血管中使用这种技术，包括肺动脉,没有被描述。我们介绍了一个患有Alagille综合征的12岁女孩，室间隔缺损(VSD),和复杂的双侧肺动脉（PA）狭窄，在进行PA血管成形术和支架置入术以改善明显的右心室高血压的六次导管置入术后。通过先天性和结构性团队之间的合作，她成功接受了DK挤压术治疗PA的复杂病变。这改善了肺血流并允许成功的手术VSD闭合。