Catastrophic transcatheter baffle fenestration for failing Fontan physiology

被引：6
|
作者：
Henneveld, HT [1 ]
Hutter, P [1 ]
Hitchcock, FJ [1 ]
Sreeram, N [1 ]
机构：
[1] Wilhelmina Childrens Hosp, Dept Cardiol, NL-3501 CA Utrecht, Netherlands
来源：
ANNALS OF THORACIC SURGERY | 1998年 / 65卷 / 01期
关键词：
D O I：
10.1016/S0003-4975(97)01265-4
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Transcatheter fenestration and balloon dilation of an atrial baffle created from native atrial tissue was attempted in a 15-year-old girl with failing Fontan physiology and protein-losing enteropathy. After transseptal puncture, initial dilations with a 10-mm and 12-mm diameter balloon resulted in an inadequate fenestration, with no significant decrease of right atrial pressure or systemic arterial saturation. Dilation of the fenestration with a 16-mm-diameter balloon produced a tear of the atrial septum and subsequent death. Balloon dilation of native atrial tissue may result in uncontrolled tears of the atrial septum. (C) 1998 by The Society of Thoracic Surgeons.
引用
收藏
页码：268 / 270
页数：3
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