Ghazi Payam, Haji-Zeinali Ali-Mohammad
Research Unit, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Cardiol Young. 2009 Apr;19(2):209-11. doi: 10.1017/S1047951109003588. Epub 2009 Feb 19.
We describe successful closure of a persistently patent arterial duct, using an Amplatzer occluder, in the presence of a large thoracic aortic aneurysm in the area of the ductal ampulla. Although percutaneous closure is more difficult in this setting, because of the risk of traumatising the fragile tissues, it can safely be performed. In our case, it produced a decrease in the size of the aneurysm, and permitted us to delay endovascular repair of the thoracic aorta.
我们描述了在动脉导管壶腹区域存在巨大胸主动脉瘤的情况下，使用Amplatzer封堵器成功闭合持续开放的动脉导管。尽管在这种情况下经皮封堵更困难，因为有损伤脆弱组织的风险，但仍可安全进行。在我们的病例中，它使动脉瘤尺寸减小，并使我们能够推迟胸主动脉的血管内修复。
