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在儿科患者的左主慢性全封闭性冠状动脉外皮干预

Andrea Virginia Monastyrski¹, Bernat Serra Creus¹, Pedro Betrián Blasco²

¹Department of Interventional Cardiology, Vall d'Hebron Hospital, Barcelona, Spain.

JACC. Case reports

|January 31, 2025

概括

在儿童中,成功通过皮肤进行冠状动脉干预 (PCI) 治疗左主冠状动脉 (LMCA) 慢性全封闭 (CTO) 是罕见的. 本研究介绍了LMCA CTO的两个成功的儿科PCI病例,提供了有价值的见解.

科学领域:

心脏病学心脏病学
儿科干预心脏病学

背景情况:

皮肤穿透冠状动脉干预 (PCI) 对于儿童患者的左主冠状动脉 (LMCA) 慢性全封闭 (CTO) 是非常罕见的.
关于PCI对LMCA CTO在这个人群中的有效性和安全性的证据有限.
儿童LMCA CTO的病理生理学与成年人有很大不同,这带来了独特的诊断和治疗挑战.

研究的目的:

在儿科患者中呈现两例成功穿皮冠状动脉干预 (PCI) 的独特案例,用于左主冠状动脉 (LMCA) 慢性全封闭 (CTO).
突出PCI在治疗这种罕见而复杂的儿科心血管疾病方面的可行性和潜力.

主要方法:

关于两名儿童患者的病例报告,他们因左主冠状动脉 (LMCA) 慢性全封闭 (CTO) 而接受皮肤穿透冠状动脉干预 (PCI).
干预程序的详细描述,包括成像,导线导航,病变准备和支架植入等.
讨论所采用的临床管理和随访策略.

主要成果:

在这两名儿科患者中,通过穿皮冠状动脉干预 (PCI) 成功实现了左侧主要冠状动脉 (LMCA) 慢性全封闭 (CTO) 的再血管化.
两位患者都很好地忍受了手术,没有报告立即的手术并发症.
随访评估显示了良好的临床结果和冠状动脉血流的恢复.

结论:

穿皮冠状动脉干预 (PCI) 可以是一个成功的治疗选择,为儿童患者的左主冠状动脉 (LMCA) 慢性全闭塞 (CTO).
这些案例强调了及时干预的重要性,以及尽管这种情况很罕见和复杂,但可能取得有利结果的潜力.
需要进一步的研究和病例系列来建立证据来管理儿科患者的LMCA CTO.

关键词:

动脉骨关节的闭塞慢性完全封闭症慢性完全封闭症左侧的主要心脏.非动脉样性闭塞的闭塞.逆向的方法是一种逆向的方法.

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