Department of Cardiology, St. Luke's Hospital, Thessaloniki, Greece.
Hellenic J Cardiol. 2012 Mar;53(2):155-9.
We present the case of a patient who underwent a percutaneous secundum atrial septal defect (ASD II) closure with an undersized septal occluder device. One week and one month later she experienced two transient ischemic attacks. Three-dimensional transesophageal echocardiography (TEE) revealed a residual patent foramen ovale (PFO) with a positive Valsalva bubble test. She underwent a second procedure under the 3D TEE guidance and the PFO was successfully closed percutaneously using a PFO occluder device that was attached to the ASD device. Accurate ASD and PFO morphology assessment and appropriate device selection are the key factors in the success of percutaneous closure. 3D TEE is an innovative diagnostic technique, providing a complete description of the cardiac defect and improving spatial orientation. Real-time 3D TEE is the appropriate guidance for successful and accurate positioning of the device.
我们报告了一例患者，其接受了经皮 II 孔型房间隔缺损（ASD）封堵术，但使用了尺寸过小的房间隔封堵器。一周和一个月后，她经历了两次短暂性脑缺血发作。三维经食管超声心动图（TEE）显示卵圆孔未闭（PFO）仍开放，瓦氏动作气泡试验阳性。在 3D TEE 引导下进行了第二次手术，使用附在 ASD 装置上的 PFO 封堵器成功地经皮闭合了 PFO。准确的 ASD 和 PFO 形态评估以及适当的装置选择是经皮闭合成功的关键因素。3D TEE 是一种创新的诊断技术，可全面描述心脏缺陷并改善空间定位。实时 3D TEE 是成功、准确放置装置的适当引导。
