在年轻患者中切除左侧心房附加通路,患有持续的左上静脉:从冠状动脉鼻开始
Soham Dasgupta1, Christopher Johnsrude1
1Division of Pediatric Cardiology, Department of Pediatrics, Norton Children's Hospital, University of Louisville, Louisville, KY, USA.
持续的左上 vena cava (PLSVC) 可以使左侧辅助通路 (APs) 的导管切除复杂化. 在冠状动脉鼻腔 (CS) 内的切除是有效的,可能避免跨septal穿刺挑战.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 持续的左上 vena cava (PLSVC) 排放到冠状动脉鼻 (CS) 是一个罕见的异常.
- 这种异常在电生理学研究和导管切除手术中可能会带来独特的挑战,特别是在左侧辅助通路 (AP) 中.
研究的目的:
- 为了描述成功的导管切除左侧APs在儿科患者的PLSVC排水到CS.
- 突出在CS内切除的疗效,作为跨septal刺穿的替代方案.
主要方法:
- 一系列病例描述了两个患有PLSVC和左侧AP的儿科患者.
- 电生理学研究,在CS内进行映射和切除.
- 在切除前,对冠状动脉附近进行了详细的评估.
主要成果:
- 在这两种儿科病例中,通过向CS,成功地实现了左侧APs的切除.
- 关环 (MVA) 上的切除试验最初没有成功.
- 从CS内部进行的切除可以避免需要穿过septal穿孔.
结论:
- 在CS内的导管切除是治疗PLSVC患者左侧AP的可行和有效策略.
- 这种方法可以规避这种患者群体中与穿越性穿刺相关的复杂性和风险.
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