15公斤以下儿童经皮房间隔缺损封堵术后出现可逆性完全性房室传导阻滞。
Reversible complete atrioventricular block after percutaneous ASD device closure in a child <15 kg.
作者信息
Rohit Manoj Kumar, Puri Kriti, Vadivelu Ramalingam
机构信息
Additional Professor, Department of Cardiology, Advanced Cardiac Centre, Post Graduate Institute of Medical Education & Research, Sector 12, Chandigarh 160012, India.
Fellow in Department of Pediatrics, Cincinati Childrens Hospital, USA.
出版信息
Indian Heart J. 2014 May-Jun;66(3):366-9. doi: 10.1016/j.ihj.2014.03.013. Epub 2014 Apr 22.
Transcatheter device closure of atrial septal defect (ASD) in small children less than 15 kg may be associated with increased complications. Complete atrioventricular heart block (CHB) is a rare complication of ASD device closure in such a setting. We report the case of a 2-year-old girl, less than 15 kg, who underwent device closure of ASD with Amplatzer Septal Occluder and subsequently developed CHB 12 h after the procedure which resolved completely with steroid treatment on fifth day. Case report of a similar kind is rarely reported in the literature. Despite adequate postero-inferior margin CHB may still occur in small children as in our case.
对于体重不足15公斤的小儿，经导管装置闭合房间隔缺损（ASD）可能会增加并发症的发生风险。完全性房室传导阻滞（CHB）是在这种情况下ASD装置闭合的一种罕见并发症。我们报告一例体重不足15公斤的2岁女孩，她接受了使用Amplatzer房间隔封堵器进行的ASD装置闭合术，术后12小时出现CHB，在第五天经类固醇治疗后完全恢复。文献中很少报道此类病例。尽管后下缘足够，但像我们的病例一样，小儿仍可能发生CHB。
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