创新的跨导管心室隔膜缺陷关闭使用小婴儿的心房隔膜装置:一个案例系列
1Pediatric Department, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Cureus
|January 21, 2026
概括
婴儿肌肉腹腔隔膜缺陷 (VSD) 的跨导管关闭是可行的使用心房隔膜封闭器. 这种方法有好处,但仔细的设备选择对于成功的结果至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 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:
- 心室隔膜缺陷 (VSD) 是最常见的儿科先天性心脏异常.
- 手术关闭是标准的,直到在20世纪80年代末出现过导管关闭.
- 设备创新已经推进了VDD跨导管闭合技术.
研究的目的:
- 在婴儿的血液动力学显著的肌肉VSD中呈现两种跨导管闭合的临床病例.
- 描述使用心房隔膜装置用于VSD关闭的程序细节和结果.
- 评估这种方法在幼儿中的可行性和有效性.
主要方法:
- 两名患有大肌肉VSD,充血性心力衰竭和肺高血压的婴儿接受了诊断性心脏导管治疗.
- 通过AmplatzerTM Septal Occluder使用前级方法进行过导管关闭.
- 设备尺寸的选择对于成功的植入至关重要.
主要成果:
- 案例1:在手术后六个月内,残留的分流和肺高血压完全消失.
- 案例2:在12周后,残留的分流和肺高血压显著减少;患者后来死于COVID-19.
- 在两个婴儿中都成功完成了透导管的关闭.
结论:
- 耳前隔膜封闭器可以用于婴儿肌肉VSD的透导管关闭.
- 前级处理方法对VSD跨导管闭合有利.
- 适当的设备选择对于儿科VSD管理的最佳结果至关重要.
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