hiv阳性患者房间隔缺损经皮装置闭合:对介入医师的挑战

IF 0.3 Q4 INFECTIOUS DISEASES
Natraj Setty H.S., M. C. Yeriswamy, V. Patil, J. Kharge, T. Raghu, P.C. Raghavendra, R. Patil, B. Geetha, C. Manjunath
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引用次数: 0

摘要

房间隔缺损是最常见的先天性心脏缺陷之一。经胸骨中线切开术或右开胸术及体外循环进行心内修复被认为是房间隔缺损关闭的标准治疗方法,但经导管Amplatzer房间隔封堵器关闭最近已成为另一种选择。经导管装置关闭二次自闭症是十多年前的技术。这已成为手术治疗的替代方法,被认为是安全有效的闭合装置。器械栓塞是每次ASD闭合尝试的潜在并发症,其原因包括器械尺寸过小、边缘松动以及操作人员相关的技术问题,例如“推拉”操作过程中的错位。在本文中,我们报告了一名32岁的HIV阳性女性患者,她表现为逐渐出现呼吸困难,NYHA II级,并成功地接受了大房间隔缺损的器械关闭。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Percutaneous device closure of atrial septal defect in HIV-positive patient: a challenge for interventionist
Atrial septal defect (ASD) is one of the most common congenital heart defects. Intracardiac repair via midline sternotomy or right thoracotomy and cardiopulmonary bypass have been considered the standard treatment for the closure of atrial septal defects, but transcatheter closure with Amplatzer septal occluder has recently become an alternative option. Transcatheter device closure of secundum ASD is a more than a decade old technology. This has become an alternative to surgical therapy, and has been regarded as generally safe and effective device closure. Device embolization is a potential complication of every attempted ASD closure, and the causative factors include undersized device, floppy rim, and operator-related technical issues, such as malposition during a “push-pull” maneuver. In this paper, we report a 32-year-old HIV positive female patient who presented with gradual onsite of dyspnea, NYHA class II, and successfully underwent a device closure of large atrial septal defect.
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来源期刊
HIV & AIDS Review
HIV & AIDS Review INFECTIOUS DISEASES-
CiteScore
0.50
自引率
0.00%
发文量
30
审稿时长
12 weeks
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