心房隔膜缺陷与异常冠状动脉:并非总是设备关闭的禁忌
Qayoom Yousuf1, Aamir Rashid1, Sameer Purra2
1Cardiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.
BMJ case reports
|October 23, 2025
概括
本案例报告强调了在患有罕见异常左环动脉 (LCX) 动脉的患者中成功关闭奥斯蒂亚第二心脏隔膜缺陷 (OS-ASD) 的跨导管装置. 这表明解剖学组合并不总是关闭的禁忌.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 奥斯蒂亚第二心房隔膜缺陷 (OS-ASD) 和异常的左环动脉 (LCX) 的同时存在是非常罕见的.
- 对于这种特定的解剖组合,关于设备关闭的文献有限.
研究的目的:
- 报告一个成功关闭OS-ASD的跨导管装置的病例,该病例发生在患有异常LCX动脉的患者身上.
- 这表明,这种解剖组合可能不是跨导管装置关闭的绝对禁忌.
主要方法:
- 一名中年妇女呼吸障碍恶化,接受了评估.
- 诊断显示了16毫米的OS-ASD和一个异常的LCX动脉,起源于右冠状动脉鼻,带有回动脉的过程.
- 进行了OS-ASD的透导管装置关闭.
主要成果:
- 通过通过导管装置成功关闭OS-ASD.
- 患者的呼吸障碍症状得到了解决.
结论:
- 即使存在异常LCX动脉,也可以通过透导管装置关闭OS-ASD.
- 这种罕见的解剖变异应仔细评估,但可能不会排除设备的关闭.
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