在周膜性心室隔膜缺陷闭塞后,心房导电障碍
Grace H T Kwok1, Chun-Ka Wong2, Hay-Son R Chen2
1Cardiology Division, Department of Medicine and Therapeutics, Prince of Wales Hospital, Hong Kong SAR, China; Department of Medicine, Chinese University of Hong Kong, Hong Kong SAR, China.
JACC. Case reports
|February 26, 2026
概括
周膜腹腔隔膜缺陷 (VSD) 的跨导管闭合可能导致心房阻塞 (AVB). 管理涉及皮质类固醇或程序调整,强调需要谨慎的技术和监控.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 心脏电生理学 心脏电生理学
背景情况:
- 过导管关闭是围膜腹腔隔膜缺陷 (VSD) 的最小侵入性选择.
- 这种手术的罕见并发症是心房静脉阻塞 (AVB).
研究的目的:
- 报告两例通过导管VSD关闭后传导干扰的情况.
- 讨论这些并发症的管理策略.
主要方法:
- 一个29岁的男性的病例报告,有症状的高度AVBVSD后关闭,用皮质类固醇治疗.
- 一名25岁的男子在逆向设备部署期间发展出左束支部阻塞的病例报告,需要程序流产和随后成功关闭设备重新定位.
主要成果:
- 第一个患者的AVB通过皮质类固醇治疗得到缓解,并且没有复发.
- 第二名患者的手术由于新发病的左捆分支堵塞而被中止;随后,修改后的关闭成功,没有导电问题.
结论:
- 传导并发症,包括AVB,可以发生在通过导管VSD关闭后.
- 仔细的设备选择,精确的部署和警的节奏监测至关重要.
- 快速和个性化的AVB管理对于有利的结果至关重要.
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