Balloon Angioplasty for Ductus Arteriosus in Infant With Ductal Origin of the Left Pulmonary Artery : Combination With Nitrogen Inhalation Therapy
スポンサーリンク
概要
- 論文の詳細を見る
An infant with trancus arteriosus(Van Praagh A3; isolated left pulmonary artery(LPA) and ductal origin of the LPA) had an extremely stenotic ductus arteriosus(DA) and the LPA could not be demonstrated. As a salvage operation, balloon angioplasty was performed for the stenotic DA at 8 days of age. The minimum lumen diameter of the DA increased from 0.7 to 2.7 mm. After the procedure, the LPA tree was well demonstrated and total pulmonary blood flow increased. Nitrogen inhalation was begun with a nasal positive airway pressure system in order to regulate pulmonary blood flow. Repeat balloon angioplasty was performed at 33 days of age for the restenosed DA. The infant's general condition was stabilized until undergoing pulmonary artery reconstruction and modified Blalock-Taussig shunt at 4 months of age, and definitive repair at 11 months of age. The combination of balloon angioplasty and nitrogen inhalation therapy enabled simultaneous growth of the LPA tree and regulation of total pulmonary blood flow, which could be a useful strategy for complex congenital heart diseases with unbalanced pulmonary blood flow.
- 社団法人日本循環器学会の論文
- 2007-02-20
著者
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Sugiyama Hisashi
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center
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SUZUKI Shoji
Second Department of Surgery, Yamanashi Medical University
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HOSHIAI Minako
Department of Pediatrics, Yamanashi Medical University
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Hoshiai Minako
Department Of Pediatrics Faculty Of Medicine University Of Yamanashi
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Hoshiai Minako
Department Of Physiology School Of Medicine Tokai University
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Suzuki S
Second Division Of Surgery Faculty Of Medicine University Of Yamanashi
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Naitou Atsushi
Department Of Pediatrics Faculty Of Medicine University Of Yamanashi
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Naito Atsushi
Department of Pediatrics, Faculty of Medicine, University of Yamanashi
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Nakazawa Shinpei
Departments Of Pediatrics Faculty Of Medicine University Of Yamanashi
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Nakazawa Sinpei
Departments of Pediatrics, Faculty of Medicine, University of Yamanashi
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Sugiyama Hisashi
Department Of Pediatrics Faculty Of Medicine University Of Yamanashi
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Suzuki Shoji
Second Division Of Surgery Faculty Of Medicine University Of Yamanashi
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Suzuki Shoji
Second Department Of Surgery Yamanashi Medical College
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Sugiyama Hisashi
Department Of Pediatric Cardiology National Cardiovascular Center
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Nakazawa Sinpei
Departments Of Pediatrics Faculty Of Medicine University Of Yamanashi
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Naito Atsushi
Departments Of Pediatrics Faculty Of Medicine University Of Yamanashi
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Naito Atsushi
Department Of Neonatology Yamanashi Prefectural Central Hospital
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