Breinholt John P, Rodefeld Mark D, Hoyer Mark H
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Catheter Cardiovasc Interv. 2009 Oct 1;74(4):624-6. doi: 10.1002/ccd.22027.
Perventricular device closure has become an important management adjunct for ventricular septal defects deemed inoperable and difficult to address in the catheterization laboratory. Complications directly related to the procedure are rarely reported, and all have been manifest in the periprocedural period. We present the case of a 6-week-old boy who underwent perventricular closure of a muscular ventricular septal defect and had a left ventricle pseudoaneurysm identified 10 months later during catheterization to close residual septal defects. We describe the subsequent percutaneous coil embolization of the pseudoaneurysm and clinical follow-up.
对于那些被认为无法手术且在导管室难以处理的室间隔缺损，经室周封堵已成为一种重要的治疗辅助手段。与该手术直接相关的并发症鲜有报道，且均在围手术期出现。我们报告一例6周龄男婴，其接受了肌部室间隔缺损的经室周封堵，10个月后在导管检查以闭合残余间隔缺损时发现左心室假性动脉瘤。我们描述了随后对假性动脉瘤进行的经皮线圈栓塞及临床随访情况。
