在之前的2次大动脉置换之后,内镜闭合了Iatrogenic Ventricular Septal 缺陷
Abdelrahman Abdelbar1, Simran Kundan2, Andrew Knowles2
1Cardiac Surgery Department, Manchester Foundation Trust, Manchester, United Kingdom.
JACC. Case reports
|July 18, 2025
概括
本病例报告详细介绍了患有复杂心脏病史的患者内隔膜缺陷的第一个内镜闭合. 这种微创手术方法提供了一个可行的替代方案,用于重复心脏手术的胸骨切除术.
科学领域:
- 心血管外科心血管外科
- 最少侵入性心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 一名79岁的男性,有两次大动脉置换通过中枢切除术的病史,呈现出呼吸障碍.
- 患者在手术后出现了一种阳性周膜性心室隔膜缺陷.
研究的目的:
- 描述一个iatrogenic周膜室隔膜缺陷的成功内镜闭合.
- 评估复杂的重复心脏手术中微创手术的可行性.
主要方法:
- 通过 transthoracic心声谱诊断iatrogenic心室隔膜缺陷的诊断.
- 心脏团队的决定为内镜外科闭合,因为不适合穿皮方法.
- 内镜微创手术关闭的性能.
主要成果:
- 患者经历了内镜手术后的快速恢复.
- 已经成功地关闭了iatrogenic心室隔膜缺陷.
结论:
- 这代表了第一个报告的内镜闭塞的案例,用于一种iatrogenic心室隔膜缺陷.
- 在复杂的重复心脏状况下,内镜方法是可行的和有益的,避免重复的胸腔切除术.
- 心脏小组应考虑在复杂心脏缺陷时无法使用干预选择时进行内镜闭合.
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