手术补片修补裂开后经导管封堵心肌梗死后残余室间隔缺损
Transcatheter closure of residual postinfarction ventricular septal defect after dehiscence of surgical patch repair.
作者信息
Elasfar Abdelfatah Abdelazim, Soofi Muhammad Adil, Kashour Tarek Seifaw, Koudieh Mohammed, Galal Mohammed Omar
机构信息
Dr. Abdelfatah Elasfar, Department of Adult Cardiology,, Prince Salman Heart Center,, King Fahad Medical City,, Riyadh 59046,, Saudi Arabia, T: +966501852566, F: +966112889999 Ext 11113,
出版信息
Ann Saudi Med. 2014 Mar-Apr;34(2):171-4. doi: 10.5144/0256-4947.2014.171.
Abstract
Ventricular septal defect (VSD) is a life-threatening complication of transmural myocardial infarction. Urgent surgical repair and concomitant revascularization are the standard of care. Percutaneous catheter-based closure techniques have been reserved for patients with a high-risk surgery or a failed surgical procedure with residual shunting. This case report demonstrates the successful transcatheter closure of residual VSD using the Amplatzer muscular VSD device (Amplatzer, Minnesota, USA) after surgical patch dehiscence for postinfarction VSD and 3-and-a-half years' post-intervention follow-up.
摘要
室间隔缺损（VSD）是透壁性心肌梗死的一种危及生命的并发症。紧急手术修复及同期血运重建是治疗的标准方法。经皮导管封堵技术一直用于手术风险高或手术失败且有残余分流的患者。本病例报告展示了在心肌梗死后室间隔缺损手术补片裂开后，使用Amplatzer肌部室间隔缺损封堵器（美国明尼苏达州的Amplatzer公司）成功经导管封堵残余室间隔缺损，并进行了干预后3年半的随访。
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