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经导管治疗鲁登巴赫综合征:鲜有人走的路。

Transcatheter therapy for Lutembacher's syndrome: The road less travelled.

作者信息

Vadivelu Ramalingam, Chakraborty Saujatya, Bagga Shiv

机构信息

Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Ann Pediatr Cardiol. 2014 Jan;7(1):37-40. doi: 10.4103/0974-2069.126551.

DOI:10.4103/0974-2069.126551
PMID:24701084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3959059/
Abstract

An 18-year-old male with Lutembacher's syndrome underwent balloon mitral valvotomy (BMV) and device closure of the atrial septal defect (ASD). BMV necessitated technical modification of taking the Inoue balloon over the wire (OTW) into the left ventricle (LV). The procedure was complicated by slippage of ASD device into the right atrium, which was managed successfully by percutaneous retrieval, and deployment of a larger device. The case highlights the challenges associated with the seemingly easy transcatheter therapy for this disease entity.

摘要

一名患有鲁登巴赫综合征的18岁男性接受了二尖瓣球囊成形术(BMV)和房间隔缺损(ASD)封堵器闭合术。BMV需要对将Inoue球囊经导丝(OTW)送入左心室(LV)进行技术改进。该手术因ASD封堵器滑入右心房而变得复杂,通过经皮取出并植入更大的封堵器成功解决。该病例凸显了针对这种疾病看似简单的经导管治疗所面临的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/7d01ff55c3c0/APC-7-37-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/0fc5fcbd2ac1/APC-7-37-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/024bf2bad09c/APC-7-37-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/aba31885b360/APC-7-37-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/75bc2cb65159/APC-7-37-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/7d01ff55c3c0/APC-7-37-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/0fc5fcbd2ac1/APC-7-37-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/024bf2bad09c/APC-7-37-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/aba31885b360/APC-7-37-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/75bc2cb65159/APC-7-37-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fbe/3959059/7d01ff55c3c0/APC-7-37-g005.jpg

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本文引用的文献

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Percutaneous treatment of Lutembacher syndrome in a case with difficult mitral valve crossing.经皮治疗二尖瓣跨瓣困难的鲁登巴赫综合征一例
J Invasive Cardiol. 2012 Mar;24(3):E54-6.
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Transcatheter closure of atrial septal defects with transthoracic echocardiography.经胸超声心动图引导下经导管封堵房间隔缺损
Cardiol Young. 2011 Apr;21(2):204-8. doi: 10.1017/S1047951110001782. Epub 2010 Dec 22.
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Reliability of transthoracic echocardiography in estimating the size of Amplatzer septal occluder and guiding percutaneous closure of atrial septal defects.
鲁登巴赫综合征的当前诊断和治疗策略:超声心动图的关键作用
Cardiovasc Diagn Ther. 2015 Apr;5(2):122-32. doi: 10.3978/j.issn.2223-3652.2015.03.07.
经胸超声心动图在评估Amplatzer房间隔封堵器大小及指导房间隔缺损经皮封堵术中的可靠性。
Chin Med J (Engl). 2008 Jun 5;121(11):973-6.
4
Transcatheter closure of atrial septal defect without balloon sizing.无需球囊测量的经导管房间隔缺损封堵术
Catheter Cardiovasc Interv. 2008 Feb 1;71(2):214-21. doi: 10.1002/ccd.21308.
5
Embolization and transcatheter retrieval of coils and devices.线圈及装置的栓塞术和经导管取出术。
Pediatr Cardiol. 2005 May-Jun;26(3):267-74. doi: 10.1007/s00246-005-1009-1.
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Transcatheter treatment of Lutembacher syndrome: combined balloon mitral valvuloplasty and percutaneous atrial septal defect closure.经导管治疗鲁登巴赫综合征:联合球囊二尖瓣成形术和经皮房间隔缺损封堵术
J Invasive Cardiol. 2004 Nov;16(11):678-9.
7
New echocardiographic diameter for Amplatzer sizing in adult patients with secundum atrial septal defect: preliminary results.用于继发孔型房间隔缺损成年患者的Amplatzer封堵器尺寸测量的新超声心动图直径:初步结果
Catheter Cardiovasc Interv. 2004 Jul;62(3):409-14. doi: 10.1002/ccd.20083.
8
Embolization and retrieval of the Amplatzer septal occluder.Amplatzer房间隔封堵器的栓塞与取出
Catheter Cardiovasc Interv. 2004 Apr;61(4):543-7. doi: 10.1002/ccd.20011.
9
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Re Manjunath et al. Balloon mitral valvuloplasty.关于曼朱纳斯等人。球囊二尖瓣成形术。
Catheter Cardiovasc Interv. 1999 Jan;46(1):117-8. doi: 10.1002/(SICI)1522-726X(199901)46:1<117::AID-CCD30>3.0.CO;2-Q.