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经导管封堵由刺伤导致的创伤性室间隔缺损。

Transcatheter closure of a traumatic ventricular septum defect resulting from a stab wound.

作者信息

Dedic A, Nieman K, Bogers A J J C, Witsenburg M

机构信息

Erasmus Medical Center, Rotterdam, The Netherlands

Erasmus Medical Center, Rotterdam, The Netherlands.

出版信息

Eur Heart J Acute Cardiovasc Care. 2015 Feb;4(1):96-9. doi: 10.1177/2048872613507119. Epub 2013 Sep 26.

Abstract

A 25-year-old man with a ventricular septal defect resulting from a stab wound to his chest was admitted to our hospital. Because of extensive comorbidity and favourable location, transcatheter closure with an Amplatzer device was preferred over surgical repair. Ventricular septal defects are an uncommon complication of cardiac trauma, but when they do occur from this cause, they often have more dramatic consequences. Transcatheter closure is an attractive, less-invasive alternative in patients with increased surgical risk, multiple previous surgical interventions, or poorly accessible defects.

摘要

一名25岁男性因胸部刺伤导致室间隔缺损,被收治入院。由于存在广泛的合并症且缺损位置有利,相比于外科修复,优先选择使用Amplatzer封堵器进行经导管封堵。室间隔缺损是心脏创伤的一种罕见并发症,但当由该原因导致时,往往会产生更严重的后果。对于手术风险增加、既往有多次手术干预或缺损位置难以到达的患者,经导管封堵是一种有吸引力的、侵入性较小的替代方案。

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