about transcatheter closure treatment of patent ductus arteriosus and severe pulmonary hypertension (report of 2 cases)（对经导管关闭治疗动脉导管未闭和严重肺动脉高压(2例报告)）.docVIP

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2017-09-05 发布于浙江
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about transcatheter closure treatment of patent ductus arteriosus and severe pulmonary hypertension (report of 2 cases)（对经导管关闭治疗动脉导管未闭和严重肺动脉高压(2例报告)）.doc

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about transcatheter closure treatment of patent ductus arteriosus and severe pulmonary hypertension (report of 2 cases)（对经导管关闭治疗动脉导管未闭和严重肺动脉高压(2例报告)）

About transcatheter closure treatment of patent ductus arteriosus and severe pulmonary hypertension (report of 2 cases) [Keywords] patent ductus arteriosus cardiac catheterization hypertension pulmonary treatment outcomes Patent ductus arteriosus (PDA is one of the common congenital heart disease, previous thoracotomy ligation as the only method of treatment, while severe pulmonary High-pressure patients, the elderly PDA surgical risk. Division since 2002 transcatheter closure therapy has successfully treated more than 90 cases of PDA patients, which Two cases complicated by severe and severe pulmonary hypertension, interventional occlusion treatment achieved the desired results, are as follows. 1 Clinical data Example 1, female, 32 years old. Suffering PDA with severe pulmonary hypertension, cardiac surgery transferred. Admission blood pressure 16.6/10.6 kPa, heart rate 86 min-1, law Qi, P2 hyperthyroidism, left sternal border the second intercostal smell and 4/6 systolic ejection murmur. Echocardiography: PDA, left to right shunt, left ventricular end-diastolic Inside diameter (LVEDD6.3 cm, left ventricular ejection fraction (LVEF0.60 to estimate the pulmonary artery systolic pressure of 15.2 kPa. Surgery descending aortic angiography showed PDA The trails 10 mm, measured the aorta and pulmonary artery pressure and for 17.0/8.0/11.0 kPa, 14.6/8.3/10.4 kPa since the femoral vein to send the delivery sheath to the descending aorta Send along the sheath diameter of 18 ~ 20 mm Amplazer PDA umbrella closure waist at the narrowest in the PDA occluder fixed auscultation murmur disappeared immediately after closure lung Arterial pressure 8.7/3.2/4.9 kPa was measured 15 min after the aorta and pulmonary artery pressure as 18.1/11.3/13.6 kPa, 6.7 / 2.7/4.0 kPa, re- Complex descending aortic angiography without shunt release PDA umbrella. Postoperative follow-up of 2 years, patients with no symptoms, echocardiography icon LVEDD was 4.6 cm, t