Can PDA patient in early stage of Eisenmenger syndrome accept interventional surgery ?
10.3969/j.issn.1004-8812.2014.09.003
- VernacularTitle:艾森曼格综合征的动脉导管未闭患者能否行介入手术？
- Author:
Xiaoke SHANG
;
Liang ZHONG
;
Gangcheng ZHANG
;
Ting PENG
;
Dingyang LI
;
Rong LU
;
Xiaoxian DENG
;
Hongmei ZHOU
- Publication Type:Journal Article
- Keywords:
Pulmonary hypertension;
Eisenmenger syndrome;
Congenital heart disease
- From:
Chinese Journal of Interventional Cardiology
2014;(9):553-557
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore whether the PDA patients in the early stage of Eisenmenger syndrome can accept interventional surgery. Methods Three patients were choose from the “National Multicenter Prospective Registration Study on Pulmonary Artery Hypertension”, Clinical assessment, as well as examinations and registrations associated with PAH, was conducted in accordance with relevant provisions of the registration study within 1 wk prior to surgery. The way of the interventional treatment were right heart catheterization and pulmonary vasodilator testing (a capsule of iloprost solution for inhalation), and measurement of the pulmonary arterial pressure, descending aortic pressure, ratio of pulmonary to systemic blood flow, ratio of pulmonary to systemic blood pressure, pulmonary capillary wedge pressure [mean≤15 mmHg(1 mmHg=0.133 kPa)], before and after testing. After clear the results of pulmonary vasodilator test all patients underwent transcatheter closure testing, if it was positive,the amplatzer was released if her family members’ approved;Conversely, the amplatzer was quickly withdrawn with negative results, and symptomatic treatment was conducted based on the patient’s clinical symptoms. Results The first cases pulmonary vasodilator test was negative, but positive in transcatheter closure testing. Satisfaction immediate effect of surgery, and the occluder was released with her family members’ approval. patients of Example 2 and Example 3 were negative in pulmonary vasodilator testing and transcatheter closure testing, can not released the occluder. Conclusions Some Patents Ductus Arteriosus (PDA) patients in early stage of Eisenmenger syndrome is feasible to accept interventional therapy , try plugging test is may be an important indicator of prognostic assessment.
