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心房隔膜封闭装置的迁移,是致命的吗?
Y A Ambarsari1, H Aribowo2, Y Kurnia2
1Cardiac, Thoracic, and Vascular Surgery Division, Surgery Department, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, RSUP Dr. Sardjito, Sleman, Indonesia. aini1706@yahoo.com.
The Medical journal of Malaysia
|December 26, 2025
概括
用心房隔膜封闭器 (ASO) 装置关闭心房隔膜缺陷 (ASD) 可能由于设备脱离而失败. 在三个儿科病例中,手术检索和关闭成功,突出了及时干预和随访的必要性.
科学领域:
- 心脏病学 心脏病学
- 儿科手术 儿科手术
- 医疗器械技术 医疗器械技术
背景情况:
- 前庭隔膜缺陷 (ASD) 是一种常见的先天性心脏病.
- 使用心房隔膜封闭器 (ASO) 装置进行皮肤穿的关闭是对二次性ASDs的标准治疗方法.
- 虽然有效,ASO设备脱落是一种罕见但严重的并发症,需要进行干预.
研究的目的:
- 报告由于ASO设备脱离而导致ASD关闭失败的儿科病例.
- 讨论脱落的ASO设备的手术检索的管理和结果.
- 为了确定潜在的原因,并强调ASO设备脱落后的后续行动的重要性.
主要方法:
- 三名儿科患者的回顾性病例系列,他们接受了外科手术检索脱落的ASO设备.
- 收集的数据包括患者人口统计数据,设备植入细节,移位时间和位置,手术程序和结果.
- 分析可能导致设备故障的潜在因素.
主要成果:
- 三名儿科患者 (9,12,13岁) 在植入后的不同时间经历了ASO设备脱离 (手术后,2个月,3年).
- 设备迁移到左心室和右心室;所有都成功地通过手术恢复了补丁关闭.
- 手术过程涉及跨时间为20-24分钟,心肺旁路时间为34-46分钟,完全康复和出院.
结论:
- 虽然ASO设备的脱落很少发生,但为了成功管理,需要立即进行手术.
- 潜在的原因包括尺寸不足的设备,解剖学因素和程序问题.
- 定期对患者进行随访对于检测延迟脱至关重要,特别是在无症状病例中.
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