在心房隔膜缺陷的装置关闭后,晚期发生的大动脉反
Pooja Prasad1, Tania Singh2, Baiju S Dharan3
1Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Annals of pediatric cardiology
|December 19, 2024
概括
心房隔膜缺陷的装置关闭可能导致新发动的大动脉吐. 这一案例凸显了小儿病患者成功修复隔膜缺陷后的潜在长期并发症.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 干预心脏病学 干预心脏病学
背景情况:
- 前庭隔膜缺陷 (ASD) 是一种常见的先天性心脏异常.
- 设备关闭是ASD的标准治疗方法,为手术提供了一个不那么侵入性的替代方案.
- 门后侧边缘是一个关键的解剖特征,影响器械选择和手术成功.
研究的目的:
- 报告一个设备因大心房隔膜缺陷而关闭的情况.
- 描述手术后的长期心声回声学发现.
- 要突出在ASD设备关闭后大动脉吐的潜在发展.
主要方法:
- 使用16毫米封闭器成功关闭了15毫米心房隔膜缺陷的装置.
- 在手术过程中采用了传统的经食道心声指导.
- 常规的2年随访包括胸前心脏回声学.
主要成果:
- 心房隔膜缺陷的关闭在技术上是成功的,没有直接的并发症.
- 大动脉最初被认为是三叶和有能力的.
- 两年的随访显示,新发的中度大动脉反没有心周溢血.
结论:
- 心房隔膜缺陷的装置关闭可能与大动脉反的晚期发展有关.
- 仔细的心声回声监测对于检测ASD设备关闭后的潜在并发症至关重要.
- 这一案例强调了接受干预性心脏病手术的儿科患者长期监测的重要性.
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