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同时修复iatrogenic左心室和大动脉穿孔使用管 arteriosus occluders:一个案例报告

Zhihao Wu¹, Shumin Ouyang¹, Minqi Liao¹

¹The Tenth Affiliated Hospital of Southern Medical University (Dongguan People's Hospital), Southern Medical University, Dongguan, China.

Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

|November 26, 2025

概括

这项案例研究表明,使用动脉管阻塞器成功关闭左心房和大动脉穿孔,这是一种新的方法,用于在截面穿孔手术期间管理罕见的,危及生命的心脏并发症.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
医疗器械技术医疗器械技术

背景情况:

在跨septal穿刺 (TSP) 期间左心室和大动脉的Iatrogenic穿孔是一种罕见但严重的并发症.
心房动需要诸如左心房尾关闭等手术,增加TSP风险.

研究的目的:

报告一种新的技术,用于管理并发性阳性左心房和下降性大动脉穿孔.
为了证明使用动脉管道阻塞器用于双室修复的可行性.

主要方法:

一个患有心房的老年男性接受左心房尾关闭的病例经历了TSP并发症.
通过原来的通道同时部署两个通道动脉阻塞器,以修复两个穿孔.
程序后和一个月后的后续评估.

主要成果:

成功同时关闭左心房和下垂大动脉穿孔.
设备位置稳定,在随访时没有残留的分流,心周溢出或血栓栓塞并发症.
这是对这种特定的双穿孔场景进行了首次记录使用动脉管道阻塞器的记录.

结论:

对于TSP引起的复杂心脏并发症,及时干预至关重要.
使用通道动脉封闭器进行双室修复是一种可行且有效的策略,用于治疗阳性左心房和大动脉穿孔.

关键词:

心房动是心房动的一种.左心房附属体封闭闭塞的情况封闭器是封闭器.穿孔穿孔是指穿孔穿孔的情况.跨septal刺穿穿刺穿的穿刺穿刺穿的穿刺穿刺穿刺穿的穿刺穿刺穿刺穿的穿刺穿刺穿刺穿刺穿刺穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿穿

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