Zussman Matt E, Freire Grace, Cupp Shawn D, Stapleton Gary E
1Johns Hopkins Heart Institute,All Children's Hospital,St. PetersburgFlorida,United States of America.
Cardiol Young. 2016 Jan;26(1):79-83. doi: 10.1017/S1047951114002650. Epub 2015 Jan 20.
Children with a secundum atrial septal defect are usually asymptomatic and are referred for elective closure after 3-4 years of age; however, in premature infants with chronic lung disease, bronchopulmonary dysplasia, or pulmonary hypertension, increased pulmonary blood flow secondary to a left-to-right atrial shunt, may exacerbate their condition. Closure of the atrial septal defect in these patients can result in significant clinical improvement. We report the cases of two premature infants with chronic lung disease, who underwent atrial septal defect closure with the Gore HELEX Septal Occluder and discuss the technical aspects of using the device in these patients and their clinical outcomes.
继发孔型房间隔缺损的儿童通常无症状，在3 - 4岁后接受择期封堵治疗；然而，对于患有慢性肺病、支气管肺发育不良或肺动脉高压的早产儿，由于心房水平的左向右分流导致肺血流量增加，可能会加重他们的病情。这些患者封堵房间隔缺损可带来显著的临床改善。我们报告了两例患有慢性肺病的早产儿，他们使用Gore HELEX房间隔封堵器进行了房间隔缺损封堵，并讨论了在这些患者中使用该装置的技术要点及其临床结果。
