Intraoperative balloon angioplasty for aortic coarctation after Norwood operation

被引:2
|
作者
Shiraishi, I [1 ]
Yamagishi, M
Oka, T
Kawakita, A
Hamaoka, K
机构
[1] Kyoto Prefectural Univ Med, Childrens Res Hosp, Div Pediat, Kamikyo Ku, Kyoto 6028566, Japan
[2] Kyoto Prefectural Univ Med, Childrens Res Hosp, Div Pediat Cardiovasc Surg, Kyoto 6028566, Japan
关键词
D O I
10.1016/S0003-4975(00)01384-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report intraoperative balloon angioplasty for recurrentaortic coarctation in hypoplastic left heart syndrome. After bidirectional Glenn anastomosis, balloon angioplasty was performed via ascending aorta. Pressure gradient across the coarctation decreased from 45 to 8 mm Hg. Intravascular ultrasound revealed successful splits of thickened intima without any extensive dissection. Intraoperative balloon angioplasty is a safe and favorable procedure for hypoplastic left heart syndrome because balloon inflation before bidirectional Glenn anastomosis could induce serious ventricular collapse or arrhythmias. (Ann Thorac Surg 2000;70:289-91) (C) 2000 by The Society of Thoracic Surgeons.
引用
收藏
页码:289 / 291
页数:3
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