Balloon Atrial Septostomy Guided by Two-Dimensional Echocardiography in Infants with D-Transposition of the Great Arteries

大動脈轉位病嬰以雙面超音波心圖指引下以氣球導管心房中隔造口術治療

黃碧桃(Betau Hwang) ； 崔德華(Der-Hwa Tsuei) ； 謝凱生(Kai-Sheng Hsieh) ； 孟春昌(C. C. Laura Meng)

《Acta Paediatrica Sinica》 29卷1期 (1988/02) Pp. 8-14

摘要

在小兒加護病房中，以雙面超音波心圖指引下，以氣球導管心房造口衛，治療四例大動脈轉位病嬰，手術後，心臟衰竭及缺氧症狀立即改善，股動脈血中氧氣飽和量平均由48.5%上昇至80.5%。以雙面超音波心圖指引下，做此項氣球導管心房造口術的優點有(1)精確地將導管置放於左心房，可避免損傷三尖瓣；(2)可立即測量心房中隔缺損大小；(3)可減少在轉送此病危嬰兒途中的危險及放射線傷害。

並列摘要

Creation of an a trial septal defect by balloon catheter is necessary for survival beyond early infancy in patients with certain cyanotic congenital heart disease; especially transposition of the great arteries. A single lumen balloon catheter was used to perform atrial septostomy under the guidance of two-dimensional echcoardiography in the pediatric intensive care unit for four infants with D-transposition of the great arteries. The hypoxic condition and signs of congestive heart failure improved soon after the operation. The average Oxygen saturation in the femoral artery increased significantly from 48.5% to 80.5%. The advantages of balloon atrial septostomy under two-dimensional echocardiographic guidance includes: 1) accurate insertion of the balloon catheter into the left atrium through the foramen ovale without traumatic injury to the atrioventricular valve, 2) immediate estimation of the size of the atrial septal defect created, 3) minimization of the risk of transport of critically ill neonate and decrease of ionizing radiation.

並列關鍵字

two-dimensional echocardiography ； balloon atrial septostomy ； D-transposition of the great arteries