欧振恒,刘麟,徐明国,李博宁,刘琮

• 1:深圳市儿童医院心血管内科

摘要(Abstract)：

<正>1临床资料患儿男,7岁10个月。因"法洛四联症纠治术后7年余,气促1个月"于2017年7月2日收入深圳市儿童医院心血管内科。患儿在5个月龄时行法洛四联症纠治术+房间隔修补术+动脉导管缝扎术,术后仍发绀,反复浮肿、腹胀。超声心动图提示肺动脉远端中度狭窄。于1岁9个月时行右心室流出道扩宽术,效果仍欠佳。于2岁10个月时行经皮肺动脉狭窄球囊扩张术,手术后症状有所减轻,但因经济原因,随后家属选择口服药物治疗。入院前1个月患儿开始再次出现气促,伴浮肿、腹胀、尿少,呈进行性加重,并逐渐出现发绀、端坐呼吸,考虑右心衰竭。查X线胸片及胸腔B超提示大量胸腔积液,行胸腔闭式引

关键词(KeyWords)： 肺动脉分支狭窄;支架;3D打印

Abstract:

Keywords:

基金项目(Foundation): 深圳市医疗卫生三名工程(SZSM201612057)

作者(Author): 欧振恒,刘麟,徐明国,李博宁,刘琮

参考文献(References)：

• [1]谢育梅，张智伟，钱明阳，等.经皮血管支架置入治疗复杂先心病外科术后分支肺动脉狭窄.中华胸心血管外科杂志，2015,31(8):449-452.
• [2]石诗，金梅，丁文虹，等.肺动脉支架治疗儿童肺动脉分支狭窄近中期右心功能随访研究.心肺血管病杂志，2017,36(8):674-677.
• [3]万俊义，张戈军，潘湘斌，等.新型Pul-Stent支架在姑息性右心室-肺动脉连接术后肺动脉狭窄中的应用.中国介入心脏病学杂志，2019,27(9):506-509.
• [4] Farooqi KM, Uppu SC, Nguyen K, et al. Application of virtual three-dimensional models f or simultaneous visualization of intracardiac anatomic relationships in double outlet right ventricle.Pediatr Cardiol,2016,37(1):90-98.
• [5]倪寅凯，赵金龙，付亮，等. 3D打印技术在结构性心脏病中的应用.国际心血管病杂志，2019,46(1):56-60.
• [6]邱海龙，庄建，岑坚正，等.国产3D打印机打印复杂先天性心脏病心脏模型的精确性评估.中华胸心血管外科杂志，2019,35(4):205-207.
• [7]韩咏，辛颖，张智伟，等. 3D打印在先天性心脏病诊疗中的应用.岭南心血管病杂志，2018,24(1):109-112.
• [8] Ripley B, Kelil T, Cheezum MK, et al. 3D printing based on cardiac CT assists anatomic visualization prior to transcatheter aortic valve replacement. J Cardiovasc Comput Tomogr, 2016,10(1):28-36.
• [9] Valverde I, Sarnago F, Prieto R, et al. Three-dimensional printing in vitro simulation of percutaneous pulmonary valve implantation in large right ventricular outflow tract. Eur Heart J, 2017,38(16):1262-1263.
• [10] Anwar S, Singh GK, Varughese J, et al. 3D Printing in complex congenital heart disease:across a spectrum of age, pathology,and imaging techniques. JACC Cardiovasc Imaging, 2017,10(8):953-956.
• [11] Lim KH, Loo ZY, Goldie SJ, et al. Use of 3D printed models in medical education:A randomized control trial comparing 3D prints versus cadaveric materials for learning external cardiac anatomy. Anat Sci Educ,2016,9(3):213-221.
• [12] Kehl D, Weber B, Hoerstrup SP. Bioengineered living cardiac and venous valve replacements:current status and future prospects.Cardiovasc Pathol,2016,25(4):300-305.