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[Transcatheter therapy of combined congenital heart diseases in children]. | LitMetric

[Transcatheter therapy of combined congenital heart diseases in children].

Zhejiang Da Xue Xue Bao Yi Xue Ban

The Affiliated Children's Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.

Published: May 2006

AI Article Synopsis

Article Abstract

Objective: To investigate the methods of interventional catheterization for combined congenital heart disease and to evaluate its efficacy in children.

Methods: From March 1994 to December 2003, 15 cases (6 boys, 9 girls) underwent transcatheter intervention for combined congenital heart diseases. The procedure of transcatheter intervention was as follows: for pulmonary stenosis (PS) and atrial septal defect (ASD) or patent ductus arteriosus (PDA), PBPV first, occlusion of ASD or PDA later; for coarctation of aorta (COA) and PDA, dilation of COA first, occlusion of PDA 4-15 months later; for aortic stenosis (AS) and PDA, PBAV first, occlusion of PDA later; for ventricular septal defect (VSD) and PDA, all occlusions with detachable coils.

Result: Transcatheter intervention for combined congenital heart diseases was successful in all patients. There was no residual shunt after occlusion immediately apart from 2 cases of PDA which were little residual after occlusion immediately. Follow-up for (3.57 +/-2.61) years, the systolic pressure gradients across pulmonary valve and coarctation were normal by ultrasonic or transcatheter, except AS. There was 3 cases presented postoperative complications: 1 with mechanical haemolysis, 1 with fall off of coil and 1 with arterial embolism, respectively.

Conclusion: Transcatheter intervention for combined congenital heart diseases could obtain satisfactory results with appropriate indications and procedure manipulations.

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Source
http://dx.doi.org/10.3785/j.issn.1008-9292.2006.03.018DOI Listing

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