CAJ | 학술논문

目的探讨Norwood术后心导管造影检查结果以及介入治疗方法和疗效.方法 13例病婴均为Norwood术后而尚未行Glenn手术者,其中12例接受了介入治疗.结果 13例中6例出现新主动脉弓再狭窄,行主动脉成形术.1例左肺动脉狭窄,行左肺动脉球囊扩张术,3个月后左肺动脉置入支架.2例Sano-Shunt狭窄和1例BT-Shunt狭窄,均置入支架治疗,改善肺血流.4例合并体肺动脉侧支,其中3例采用Coil行侧支血管堵塞术,另1例于次日Glenn手术术中结扎.结论 Norwood术后血流动力学异常的发生率很高,术后造影和血流动力学的评估以及对新主动脉弓或肺动脉狭窄的介入治疗是必要的.
목적 탐토Norwood술후심도관조영검사결과이급개입치료방법화료효.방법 13례병영균위Norwood술후이상미행Glenn수술자,기중12례접수료개입치료.결과 13례중6례출현신주동맥궁재협착,행주동맥성형술.1례좌폐동맥협착,행좌폐동맥구낭확장술,3개월후좌폐동맥치입지가.2례Sano-Shunt협착화1례BT-Shunt협착,균치입지가치료,개선폐혈류.4례합병체폐동맥측지,기중3례채용Coil행측지혈관도새술,령1례우차일Glenn수술술중결찰.결론 Norwood술후혈류동역학이상적발생솔흔고,술후조영화혈류동역학적평고이급대신주동맥궁혹폐동맥협착적개입치료시필요적.
Objective To evaluate the outcome of the cardiac catheter angiograplasty for patients after Norwood procedure. Methods 13 patients, who had undergone Norwood procedure (prior to Glenn procedure)received cardiac catheterization and angiography. lnterventional therapy was performed in 12 patients as indicated. Results Angioplasty was carried out for re-coarctation in 6 of the13 patients. 1 patient with left pulmonary artery stenosis received balloon dilation and 3 months later a stent implantation. A stent was implanted to improve the pulmonary blood flow in 2 patients with Sano-Shunt stenosis and 1 patient with BT-Shunt stenosis. Transcatheter coil embolization was performed in 3 of the 4 patients with systemic to pulmonary collateral vessels. The other one was scheduled for Glenn procedure the next day. Conclusion The incidence of hemodynamic restrictions after Norwood procedure is high (12 of 13 patients). Postoperative angiography and hemodynamic assessment for diagnosis and interventional treatment for new pulmonary artery or aortic arch stenosis is necessary after Norwood procedure.