The Heart Hospital, University College Hospital, UCL, London W1G 8PH, UK.
Europace. 2010 Feb;12(2):289-90. doi: 10.1093/europace/eup353. Epub 2009 Nov 17.
We report a case of an iatrogenic atrial septal defect following left atrial ablation for persistent atrial fibrillation in a patient with a Fontan circulation. Transseptal puncture was performed with two sheaths across a single puncture and left atrial ablation undertaken. Post procedure the patient became cyanosed with right to left shunting. Transcatheter closure immediately improved symptoms and oxygen saturation.
我们报告了一例因先天性心脏病 Fontan 循环患者持续性心房颤动行左心房消融术后并发医源性房间隔缺损的病例。该患者经两次经皮穿刺，使用两个鞘管完成了房间隔穿刺，并进行了左心房消融。术后患者出现发绀伴右向左分流。经导管封堵即刻改善了症状和氧饱和度。
