自膨胀式瓣膜经皮肺动脉瓣置换术治疗锥体型右心室流出道患者一例

Percutaneous pulmonary valve replacement with self-expanding valve for a patient with cone-shaped right ventricular outflow tract:a case report

该文报道了1例法洛四联症矫治术后重度肺动脉瓣反流的16岁患者,其右心室流出道至主肺动脉形态呈锥体型,极具挑战性。入院后采用自膨胀式瓣膜,成功行经皮肺动脉瓣置换术,患者术后2年随访期间病情稳定。该病例旨在为锥体型右心室流出道患者行经皮肺动脉瓣置换术治疗提供参考。

This article reports a 16-year-old patient with severe pulmonary valve regurgitation after corrective surgery for tetralogy of Fallot.The shape of the right ventricular outflow tract to the main pulmonary artery was coneshaped,which is extremely challenging.After admission,percutaneous pulmonary valve replacement with self-expanding valve was successfully performed.The patient’s condition remained stable during the 2-year follow-up period after surgery.This case aims to provide a reference for percutaneous pulmonary valve replacement in patients with cone-shaped right ventricular outflow tract.