The first experience with intrauterine balloon vulvoplasty in aortic stenosis
- 作者: Kurtser M.A.1,2,3, Malmberg O.L.2,3,4, Grigoryan A.M.2, Samsonova O.A.3,4, Mkrtychyan B.T.3, Shamanova M.B.3, Normantovich T.O.3, Mamaeva A.V.3, Latyshkevich O.A.5, Gaponenko E.A.3,4, Sysolyatina E.V.2
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隶属关系:
- N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
- Lapino Clinical Hospital, “Mother and Child” Group of Companies
- MD GROUP Clinical Hospital, “Mother and Child” Group of Companies
- Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
- Center for Family Planning and Reproduction, Moscow City Healthcare Department
- 期: 编号 5 (2023)
- 页面: 153-158
- 栏目: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/523631
- DOI: https://doi.org/10.18565/aig.2023.61
- ID: 523631
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详细
Background: Outflow tract obstruction of the left ventricle (LV) is one of the causes of a disorder of its growth and development of hypoplastic left heart syndrome (HLHS). This pathological condition fails to support systemic blood flow and requires postnatal correction, by creating univentricular blood circulation, a palliative operation with a poor vital prognosis for the newborn. Intrauterine balloon vulvoplasty is a method of treatment that contributes to the improvement of LV growth, which in turn increases the likelihood of maintaining biventricular circulation after birth.
Case report: The paper describes the authors’ first experience with a cardiac intrauterine intervention in a fetus with critical aortic valve stenosis. It briefly outlines the medical history of a female patient, the time course of changes in ultrasound data, the compliance of ECHO-CG readings to the criteria of the International Fetal Cardiac Intervention Registry, describes the technique of balloon vulvoplasty and presents the early hemodynamic results after intrauterine correction.
Conclusion: The early hemodynamic changes after intrauterine intervention in the fetus with critical aortic valve stenosis confirmed the efficiency of balloon vulvoplasty in this pathology. A further follow-up of neonatal hemodynamic parameters after intrauterine cardiac defect correction is required to assess the long-term results of intrauterine correction.
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作者简介
Mark Kurtser
N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; Lapino Clinical Hospital, “Mother and Child” Group of Companies; MD GROUP Clinical Hospital, “Mother and Child” Group of Companies
编辑信件的主要联系方式.
Email: malmberg.olga@gmail.com
Academician of the Russian Academy of Sciences, Head of the Department of Obstetrics and Gynecology of the Pediatric Faculty, Pirogov Russian National Research Medical University, Ministry of Health of Russia; CEO and Member of the Board of Directors, Mother and Child Group of Companies
俄罗斯联邦, Moscow; Moscow Region; MoscowOlga Malmberg
Lapino Clinical Hospital, “Mother and Child” Group of Companies; MD GROUP Clinical Hospital, “Mother and Child” Group of Companies; Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Email: malmberg.olga@gmail.com
PhD, Chief Specialist in Ultrasound Diagnostics, Mother and Child Group of Companies; Associate Professor of the Department of Ultrasound Diagnostics, Russian Medical Academy Continuing Professional Education, Ministry of Health of Russia
俄罗斯联邦, Moscow Region; Moscow; MoscowAshot Grigoryan
Lapino Clinical Hospital, “Mother and Child” Group of Companies
Email: malmberg.olga@gmail.com
ORCID iD: 0000-0001-9226-0130
PhD, Head of the Department of X-ray Surgical Methods of Diagnosis and Treatment
俄罗斯联邦, Moscow RegionOlga Samsonova
MD GROUP Clinical Hospital, “Mother and Child” Group of Companies; Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Email: Usfox79@gmail.com
PhD, ultrasound diagnostics doctor, MD GROUP Clinical Hospital of the Mother and Child Group of Companies; Assistant at the Department of Ultrasound Diagnostics, Pirogov Russian National Research Medical University, Ministry of Health of Russia
俄罗斯联邦, Moscow; MoscowBoris Mkrtychyan
MD GROUP Clinical Hospital, “Mother and Child” Group of Companies
Email: malmberg.olga@gmail.com
PhD, Head of the Department of X-ray Surgical Methods of Diagnosis and Treatment
俄罗斯联邦, MoscowMaria Shamanova
MD GROUP Clinical Hospital, “Mother and Child” Group of Companies
Email: m.shamanova@mcclinics.ru
Deputy Chief Physician, Head of the Miscarriage Department
俄罗斯联邦, MoscowTatiana Normantovich
MD GROUP Clinical Hospital, “Mother and Child” Group of Companies
Email: t.normantovich@mcclinics.ru
Chief Physician
俄罗斯联邦, MoscowAnna Mamaeva
MD GROUP Clinical Hospital, “Mother and Child” Group of Companies
Email: Doc.mamaeva@yahoo.com
Head of the Department of the Prenatal Diagnosis
俄罗斯联邦, MoscowOleg Latyshkevich
Center for Family Planning and Reproduction, Moscow City Healthcare Department
Email: malmberg.olga@gmail.com
PhD, Chief Physician
俄罗斯联邦, MoscowEkaterina Gaponenko
MD GROUP Clinical Hospital, “Mother and Child” Group of Companies; Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia
Email: malmberg.olga@gmail.com
ultrasound diagnostics doctor, MD GROUP Clinical Hospital of the Mother and Child Group of Companies; Assistant at the Department of Ultrasound Diagnostics, Pirogov Russian National Research Medical University, Ministry of Health of Russia
俄罗斯联邦, Moscow; MoscowEkaterina Sysolyatina
Lapino Clinical Hospital, “Mother and Child” Group of Companies
Email: malmberg.olga@gmail.com
PhD, obstetrician-gynecologist
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