用护身符左附件心房封堵器封堵室间隔破裂。

IF 5.8 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Canadian Journal of Cardiology Pub Date : 2025-04-05 DOI:10.1016/j.cjca.2025.03.035

François Dérimay, Ranny Issa, Justine Fort, Daniel Grinberg, Salim Si-Mohamed, Gilles Rioufol

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引用次数: 0

摘要

梗死后室间隔破裂（VSR）是一种严重的并发症。手术矫正经常是禁忌，经皮矫正是最后的选择。然而，由于右心室小梁、边缘不规则以及没有容易获得的专用假体，经皮VSR闭合是复杂的。本病例报告展示了一种有效的替代VSR闭塞技术，使用Amulet闭塞器，通过简单的静脉通路和经间隔穿刺提供完美的VSR闭塞。与专用VSR假体相比，护身符闭塞器易于快速获得，因此在紧急情况下提供了有效的替代手术。

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Occlusion of ventricular septal rupture with an Amulet left appendage atrial occluder.

Post-infarction ventricular septal rupture (VSR) is a severe complication. Surgical correction is frequently contraindicated, and percutaneous correction is the last option. However, percutaneous VSR closure is complex, due to right ventricle trabeculations, irregular edges and no easily available dedicated prosthesis. The present case report demonstrated an effective alternative VSR occlusion technique using the Amulet occluder, providing perfect VSR occlusion via a simple procedure with venous access and transeptal puncture. In contrast to dedicated VSR protheses, the Amulet occluder is easily and quickly available and thus offers an effective alternative to the surgery in emergency contexts.

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来源期刊

Canadian Journal of Cardiology 医学-心血管系统

CiteScore

9.20

自引率

8.10%

发文量

546

审稿时长

32 days

期刊介绍： The Canadian Journal of Cardiology (CJC) is the official journal of the Canadian Cardiovascular Society (CCS). The CJC is a vehicle for the international dissemination of new knowledge in cardiology and cardiovascular science, particularly serving as the major venue for Canadian cardiovascular medicine.