静脉动脉硬盘装置在逆心位置关闭:技术挑战和解决方案:一个案例报告
Abhimanyu Uppal1, Bhushan Shah2, Rambabu Sharma3
1Priyanka Hospital and cardiac center, Jaipur, India. abhimanyu210288@gmail.com.
概括
腹腔隔膜缺陷 (VSDs) 的皮革关闭在患有逆位与右心 (SI-DC) 的患者中是可行的. 这种方法为手术提供了一个安全的替代方案,需要特定的解剖学适应才能成功部署设备.
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:
- 逆心位置与右心 (SI-DC) 是一种罕见的情况,内部器官是镜像的.
- 在SI-DC患者中,先天性心脏缺陷,如心室隔膜缺陷 (VSD) 不常见.
- 手术关闭VSD是传统的方法,但穿皮方法正在出现.
研究的目的:
- 描述SI-DC患者皮肤通透VSD设备关闭的挑战和技术修改.
- 为了在独特的解剖环境中证明这种微创方法的可行性和安全性.
主要方法:
- 一名患有SI-DC和中度周膜性VSD的4岁男孩经历了皮革关闭.
- 该程序涉及调整光镜角度和线材操纵以适应镜像解剖学.
- 血液动力学和心声回声学指导用于通过逆行方法部署设备.
主要成果:
- 在没有并发症的情况下,成功部署了Konar多功能封闭装置 (MFO® 7-5mm).
- 该手术使用最小的对比度和光照射,这是由于手术前的精心计划.
- 患者很好地忍受了手术,没有直接的不良事件.
结论:
- 穿皮VSD设备关闭是SI-DC患者的安全和可行的选择.
- 根据独特的"镜像"心脏解剖学量身定制的彻底的术前规划对于成功至关重要.
- 这一案例凸显了在复杂的先天性心脏病情景中进行微创手术的潜力.
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