Lange Stefan A, Schoen Steffen P, Braun Martin U, Schulze Matthias R, Boscheri Alessandra F, Kittner Thomas, Strasser Ruth H
Department of Internal Medicine and Cardiology, Dresden University of Technology, Germany.
J Interv Cardiol. 2006 Apr;19(2):166-9. doi: 10.1111/j.1540-8183.2006.00125.x.
Transesophageal echocardiography (TEE) revealed a 3-mm-large patent foramen ovale (PFO). No other reason for these neurological events could be found and the patient underwent percutaneous closure of the PFO with a CARDIA Star 03/30 device without periprocedural complications. Four weeks later, the patient underwent a routine control of device without any adverse clinical symptoms. Surprisingly, echocardiography revealed a perforation of the aortic root by an umbrella strut with a small shunt from the aortic root to the right atrium. Magnetic resonance imaging (MRI) confirmed the diagnosis of device malposition. Consecutively, the patient underwent minimal invasive surgery. After removal of the single perforating strut, the bleeding lesion was closed. The patient remained free of any additional complications during the postoperative course and up until now has had uneventful follow-ups.
经食管超声心动图（TEE）显示有一个3毫米大的卵圆孔未闭（PFO）。未发现这些神经系统事件的其他原因，该患者使用CARDIA Star 03/30装置进行了经皮卵圆孔未闭封堵术，术中无并发症。四周后，患者接受了装置的常规检查，无任何不良临床症状。令人惊讶的是，超声心动图显示主动脉根部被伞状支柱穿孔，有一个从主动脉根部到右心房的小分流。磁共振成像（MRI）证实了装置位置不当的诊断。随后，患者接受了微创手术。移除单个穿孔支柱后，出血部位得以封闭。患者术后过程中未出现任何其他并发症，迄今为止随访情况良好。
