在一个9个月大的婴儿中,成功通过皮肤关闭大腹腔隔膜缺陷 (VSD):一个病例报告
Reza Derakhshan1, Fatemeh Doost Mohammadi2,3
1Department of Pediatrics, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
ARYA atherosclerosis
|November 3, 2025
概括
穿皮关闭腹腔隔膜缺陷 (VSD) 为未能发育的婴儿提供了成功的外科手术替代方案. 本案例报告详细介绍了在低出生体重的婴儿中成功关闭过导管VSD,解决了肺高血压.
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:
- 心室隔膜缺陷 (VSD) 是一种普遍存在的先天性心脏异常.
- 大型VSD具有显著的左向右转移往往需要干预.
- 穿皮关闭是选择性VSD病例外科修复的新兴替代方案.
研究的目的:
- 报告在低出生体重的婴儿中成功关闭腹腔隔膜缺陷 (VSD) 的跨导管关闭.
- 讨论与显著的VSD相关的未能繁荣 (FTT) 的管理.
- 突出在非常年轻和体重较低的患者中穿皮VSD关闭的可行性.
主要方法:
- 一个病例报告,一个9个月大的男婴患有显著的VSD和FTT.
- 使用前级方法进行了VSD的穿皮关闭.
- 一个对称的闭合装置被用于跨导管程序.
主要成果:
- 成功地实现了VSD的穿皮关闭.
- 关闭装置在程序后被证实处于最佳位置.
- 肺高血压的缓解和婴儿状况的改善被观察到.
结论:
- 通过导管关闭VSD是低出生体重婴儿的可行和有效的治疗选择.
- 该病例代表了伊朗最年轻和体重最低的婴儿之一,该婴儿经历了成功的穿皮VSD关闭.
- 穿皮VSD关闭可以避免在精心挑选的儿科患者中需要进行开放心脏手术.
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