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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.

DOI:10.1007/s00246-012-0372-y
PMID:22639005
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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本文引用的文献

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Acquired left ventricular-right atrium shunts.获得性左心室-右心房分流。
Eur J Cardiothorac Surg. 2011 Apr;39(4):500-6. doi: 10.1016/j.ejcts.2010.04.027. Epub 2010 Jun 2.
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Amplatzer device closure of a tortuous Gerbode (left ventricle-to-right atrium) defect complicated by transient hemolysis in an octogenarian.应用Amplatzer封堵器闭合一名老年患者的迂曲型Gerbode(左心室至右心房)缺损,该患者并发短暂性溶血。
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Transcatheter closure of ischemic and post-traumatic ventricular septal ruptures.
Transcatheter closure of a rare congenital left ventricle to right atrium shunt using the amplatzer duct occluder II: A case report.
使用Amplatzer II型动脉导管封堵器经导管闭合罕见的先天性左心室至右心房分流:一例报告
Medicine (Baltimore). 2020 Nov 20;99(47):e22576. doi: 10.1097/MD.0000000000022576.
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Mid-term results of transcatheter closure of ventricular septal defect using Nit-Occlud Lê ventricular septal defect coil, single-center experience.使用 Nit-Occlud Lê 室间隔缺损封堵器经导管封堵室间隔缺损的中期结果:单中心经验
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Gerbode defect: A comprehensive review of its history, anatomy, embryology, pathophysiology, diagnosis, and treatment.Gerbode缺损:对其历史、解剖学、胚胎学、病理生理学、诊断及治疗的全面综述。
J Saudi Heart Assoc. 2017 Oct;29(4):283-292. doi: 10.1016/j.jsha.2017.01.006. Epub 2017 Feb 16.
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Simultaneous "traumatic Gerbode" and aortic rupture due to blunt chest trauma.钝性胸部创伤导致的同时性“创伤性Gerbode缺损”和主动脉破裂
Ann Card Anaesth. 2016 Jan-Mar;19(1):182-7. doi: 10.4103/0971-9784.173045.
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Successful device closure in a congenital Gerbode defect.先天性Gerbode缺损的成功器械封堵。
Postepy Kardiol Interwencyjnej. 2015;11(2):158-9. doi: 10.5114/pwki.2015.52294. Epub 2015 Jun 22.
8
Acquired left ventricle-to-right atrium shunt: clinical implications and diagnostic dilemmas.获得性左心室至右心房分流:临床意义与诊断困境
Wien Klin Wochenschr. 2015 Nov;127(21-22):884-892. doi: 10.1007/s00508-015-0710-1. Epub 2015 Mar 17.
9
Gerbode defect: Another nail for the 3D transesophagel echo hammer?Gerbode缺损:3D经食管超声心动图这把锤子又钉上一颗钉子?
Int J Cardiovasc Imaging. 2015 Apr;31(4):753-64. doi: 10.1007/s10554-015-0620-3. Epub 2015 Feb 14.
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Left ventricular to right atrial shunt (Gerbode defect): congenital versus acquired.左心室至右心房分流(Gerbode缺损):先天性与后天性
Postepy Kardiol Interwencyjnej. 2014;10(3):185-94. doi: 10.5114/pwki.2014.45146. Epub 2014 Sep 11.
经导管封堵缺血性和创伤后室间隔破裂
Catheter Cardiovasc Interv. 2007 Feb 15;69(3):403-7. doi: 10.1002/ccd.20949.
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Successful device closure of an acquired Gerbode defect.经导管成功封堵后天性Gerbode缺损。
Catheter Cardiovasc Interv. 2006 Dec;68(6):942-5. doi: 10.1002/ccd.20896.
5
Transcatheter closure of acquired Gerbode defect following mitral valve replacement using the Amplatzer duct occluder.使用Amplatzer动脉导管封堵器经导管闭合二尖瓣置换术后获得性Gerbode缺损。
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Percutaneous closure of left ventricular-to-right atrial fistula after prosthetic mitral valve rereplacement using the Amplatzer duct occluder.使用Amplatzer导管封堵器经皮闭合人工二尖瓣置换术后左心室至右心房瘘
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