Lodha Ankur, Haran Mehandi, Enakpene Evbu, Sadiq Adnan, Shani Jacob
Division of Cardiology, Maimonides Medical Center, Brooklyn, New York 11219, USA.
Echocardiography. 2012 Feb;29(2):E45-7. doi: 10.1111/j.1540-8175.2011.01545.x. Epub 2011 Nov 2.
We present a case of a rare complication of atrial septal defect (ASD) device closure causing cor triatriatum dextro iatrogenica. A 29-year-old female presented with sudden onset dysarthria and ataxia and was found to have basilar and thalamic infarcts. Further evaluation using transthoracic echocardiography revealed an ASD which was repaired using the Gore HELEX septal occluder. Transesophageal echocardiography done after 2 months of ASD closure revealed an interesting finding termed cor triatriatum dextro iatrogenica. We briefly describe the case and discuss the relevant literature.
我们报告一例罕见的房间隔缺损(ASD)封堵器闭合并发症导致医源性右三房心的病例。一名29岁女性突然出现构音障碍和共济失调,经检查发现有基底节和丘脑梗死。经胸超声心动图进一步评估显示存在ASD,遂使用戈尔HELEX房间隔封堵器进行修复。ASD封堵术后2个月进行的经食管超声心动图显示了一个有趣的发现,即医源性右三房心。我们简要描述该病例并讨论相关文献。