急诊手术从右心室取出栓塞的房间隔闭塞器-罕见的病例

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
SushilKumar Singh, Sarvesh Kumar, Kumar Rahul, Vivek Tewarson, Bhupendra Kumar, Karan Kaushik, Shobhit Kumar
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引用次数: 0

摘要

房间隔缺损(Atrial septal缺损,ASD)是最常见的先天性心脏缺陷之一(3.78/10,000活产)。几十年来,手术闭合一直被认为是修复第二口ASD的标准方法。手术治疗是安全有效的,但并发症涉及出血、心律失常和残留缺陷。然而,多年来,使用Amplatzer ASD闭塞器(AGA Medical Corp., Golden Valley, Minnesota)的经皮装置封闭已被广泛用于治疗ASD,并被证明与传统手术修复一样有效和安全。然而,手术或器械相关的并发症可能发生;与ASD关闭装置相关的常见并发症包括残留分流、装置错位或栓塞、腔静脉或心房血栓形成以及周围组织侵蚀,可能导致心脏穿孔,这可能是致命的。我们报告一个不寻常的情况下,16岁的女性与栓塞ASD闭塞装置进入右心室后立即装置部署。我们通过手术移除该装置,并使用自体心包贴片以标准方式关闭ASD。病人出院了,没有任何并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergent surgical retrieval of an embolized atrial septal occluder device from right ventricle – An unusual occurrence
Atrial septal defect (ASD) is one of the most common congenital heart defects (3.78/10,000 live births). For several decades, surgical closure has been considered the standard method of repairing an ostium secundum ASD. Surgical treatment is safe and effective, but the complications relate to bleeding, arrhythmia, and residual defects. However, over the years, percutaneous device closure using the Amplatzer ASD occluder (AGA Medical Corp., Golden Valley, Minnesota) has been widely used for the treatment of ASD and has proven to be effective and safe as traditional surgical repair. However, procedure- or device-related complications can occur; Complications commonly associated with ASD closure device includes residual shunt, device malposition or embolization, thrombosis in the vena cava or atrium and erosion of the surrounding tissue which may lead to perforation of the heart, which could be fatal. We report an unusual case of a 16-year-old female with embolization of the ASD occluder device into the right ventricle immediately after device deployment. We removed the device surgically and closed the ASD in a standard manner, with an autologous pericardial patch. The patient was discharged from the hospital without any complications.
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来源期刊
Research in Cardiovascular Medicine
Research in Cardiovascular Medicine CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
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发文量
13
审稿时长
17 weeks
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