在试图关闭心室隔膜缺陷的过程中,通过皮肤装置关闭iatrogenic右心室穿孔:一个病例报告
Muhammad Raza Sarfraz1, Saqlain Anwar2, Nadeem Sadiq3
1Department of Medicine and Surgery, Allied Hospital, Faisalabad Medical University, Sargodha Road, Faisalabad 38000, Punjab, Pakistan.
过导管心室隔膜缺陷的关闭可能会导致心脏穿孔. 在儿科病例中,设备关闭成功治疗了右心室穿孔,避免了手术.
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:
- 心脏穿孔是一种罕见的,危及生命的过导管手术并发症,特别是在儿童患者由于组织脆弱性.
- 通过导管干预期间的阳性心脏穿孔带来了重大风险,包括心脏吸管和心肺骤停.
研究的目的:
- 报告一个罕见的发生在儿童中跨导管心室隔膜缺陷关闭期间的阳性右心室穿孔的病例.
- 为了突出成功的透导管装置关闭心脏穿孔作为一种救命的替代方案,突发性手术.
主要方法:
- 一名儿科患者在跨导管心室隔膜缺陷关闭过程中经历了右心室穿孔.
- 为了稳定血液动力学,进行了紧急心周发热和自身输血.
- 使用8毫米的上海形状记忆合金封闭器进行过导管修复,用于密封穿孔.
主要成果:
- 患者在导线撤出后发生了心脏吸管和心肺骤停.
- 血液动力学稳定性通过紧急心周切割和自身输血恢复.
- 成功关闭右心室穿孔的跨导管装置导致完全静血和稳定恢复.
结论:
- 过导管装置的关闭是一种可行的,微创的,在儿科患者心脏穿孔中拯救生命的选择.
- 这种方法可以在高风险场景中成为紧急手术的关键替代方案,包括在透导管手术期间心脏穿孔.
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