通过导管关闭心房隔膜缺陷设备相关的大动脉侵蚀在一个儿科患者
Kumar Anand Shrutiraaj1, Abhay Pota2, Tarun Parmar2
1Department of Cardiology, U.N. Mehta Institute of Cardiology and Research Centre, Civil Hospital Campus, Ahmedabad, Gujarat, India.
Annals of pediatric cardiology
|February 26, 2026
概括
在心房隔膜缺陷装置关闭后发生的一种罕见的主动脉侵蚀并发症是通过透导管关闭成功治疗的. 这种最少的侵入性方法避免了对年轻患者的开放心脏手术.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 耳前隔膜缺陷 (ASD) 装置关闭是一个常见的程序.
- 虽然很少发生,但可能会出现并发症,包括与设备相关的问题.
- 大动脉侵蚀是ASD装置关闭后的一种严重,尽管不常见的并发症.
研究的目的:
- 在ASD设备关闭后报告一例大动脉侵蚀.
- 描述这种并发症的顺利通过导管治疗.
- 以突出通过干预技术避免开放心脏手术.
主要方法:
- 一名5岁的女性患者在ASD设备关闭后出现了大动脉侵蚀.
- 诊断成像检查发现了由设备撞击引起的缺陷.
- 通过导管关闭大动脉穿孔,使用特定设备进行.
主要成果:
- 达到了成功关闭大动脉穿孔的跨导管闭合.
- 患者避免了需要进行开放心脏手术.
- 在3年的随访中,患者无症状,没有残留的分流或并发症.
结论:
- 过导管关闭是ASD装置关闭后大动脉侵蚀的可行和有效治疗方法.
- 最少侵入性技术可以成功地管理罕见的设备相关并发症.
- 这种方法在特定的儿科病例中提供了手术的安全替代方案.
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