Royal Melbourne Hospital, Royal Parade, Parkville 3052, Vic, Australia.
Heart Lung Circ. 2010 Jan;19(1):53-5. doi: 10.1016/j.hlc.2008.12.004. Epub 2009 Feb 28.
Use of percutaneous devices for closure of atrial septal defects (ASD) continues to increase owing to relative safety and ease of implementation compared with traditional surgical repair. Complications such as perforation and displacement requiring surgical intervention have been reported. We describe a case of perforation with intracardiac fistula formation, with an underlying mechanism likely to be similar to the few cases previously described, occurring during medium term follow up after ASD device closure. Appropriate case selection can reduce the incidence of this complication with caution taken in ASD cases with deficient aortic and superior rims.
由于与传统的外科修复相比，经皮器械闭合房间隔缺损（ASD）具有相对安全性和易于实施的优点，因此其应用不断增加。据报道，该方法可出现穿孔和移位等并发症，需要进行外科干预。我们描述了一例在 ASD 器械闭合后中期随访时发生穿孔伴心内瘘形成的病例，其发生机制可能与之前描述的少数病例相似。在 ASD 病例中，谨慎选择合适的病例可以降低这种并发症的发生率，尤其是对于主动脉和上缘缺陷的 ASD 病例。
