皮肤穿透管道动脉关闭在一个连接的双胞胎:案例报告
Paulo Correia Calamita1, Jonathan Guimarães Lombardi1, Mayra Rosana Palmeira Barreto1,2
1Hospital Estadual de Urgências Governador Otávio Lage Siqueira (HUGOL), Goiânia, GO - Brasil.
Arquivos brasileiros de cardiologia
|January 15, 2025
概括
本案例报告详细介绍了使用Piccolo装置在合并双胞胎中首次成功通过皮肤关闭状动脉管. 这种微创手术为这种复杂的先天性心脏病提供了新的治疗选择.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 干预心脏病学 干预心脏病学
背景情况:
- 由于血液动力学不稳定性,带有专利性动脉管 (PDA) 的合并双胞胎经常面临不良预后.
- 专利性动脉管是严重的先天性心脏缺陷,可能导致新生儿严重的并发症.
研究的目的:
- 报告第一个成功的皮肤穿关闭PDA在合并双胞胎.
- 为了评估Piccolo设备在这种独特的临床场景中的有效性和安全性.
主要方法:
- 穿皮装置关闭了专利的动脉管道.
- 使用Piccolo设备 (Abbot结构心脏)进行干预.
- 联合双胞胎患者的病例报告.
主要成果:
- 通过Piccolo设备成功关闭了专利的动脉管道.
- 这项手术在技术上是成功的,并且在血液动力学上具有重要意义.
结论:
- 使用Piccolo装置进行皮肤封闭是一种可行且有效的治疗方法,用于结合双胞胎的动脉管.
- 这种最少的侵入性方法可能会改善复杂心脏异常的合并双胞胎的结果.
相关概念视频
Anastomoses
In human anatomy, anastomosis refers to a connection or opening between two things, particularly between blood vessels or other tubular structures. The term is derived from the Greek term 'anastomosis,' which means 'outlet' or 'opening.' This natural network of connections plays a critical role in the survival and functionality of the human body.
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
Anastomoses can be formed at arterial, venous, and lymphatic vessels.
Arterial Anastomosis: These occur between arteries. They are most common in...
Development of Blood Vessels
The development of the vascular system in a fetus is a complex and intricate process that begins as early as 15 to 16 days post-conception. This process starts outside the embryo, specifically in the mesoderm of the yolk sac, chorion, and connecting stalk. Approximately two days later, the formation of blood vessels occurs within the embryo itself.
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...
The initial formation of this system is facilitated by the small amount of yolk present in the ovum and yolk sac. Blood vessels originate from...


