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经导管封堵获得性左心室至右心房分流:首例婴儿病例报告及文献复习

Transcatheter closure of acquired left ventricle-to-right atrium shunt: first case report in an infant and review of the literature.

作者信息

Dangol Amir, Bansal Manish, Al-Khatib Yasser

机构信息

Division of Pediatric Cardiology, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106, USA.

出版信息

Pediatr Cardiol. 2013 Jun;34(5):1258-60. doi: 10.1007/s00246-012-0372-y. Epub 2012 May 26.

Abstract

Gerbode defect, a left ventricle to right atrium (LV-RA) communication, is usually congenital. Acquired LV-RA communications are rare and only few case reports of successful trans-catheter closure have been published though none of them were on infants. We hereby report a rare case of LV to RA shunt acquired following surgical repair of Tetralogy of Fallot (TOF). The defect was successfully closed percutaneously with an Amplatzer duct occluder. This is the first reported case of device closure of an acquired Gerbode defect in an infant.

摘要

Gerbode缺损是一种左心室至右心房(LV-RA)的交通,通常为先天性。获得性LV-RA交通较为罕见,仅有少数成功经导管封堵的病例报告发表,不过均非针对婴儿。我们在此报告1例法洛四联症(TOF)手术修复后获得性LV至RA分流的罕见病例。该缺损采用Amplatzer动脉导管封堵器经皮成功封堵。这是首例报道的婴儿获得性Gerbode缺损器械封堵病例。

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