房间隔缺损的杂交封堵术：一种改良方法。

Sheth Kshitij, Jain Shreepal, Joshi Suresh, Dalvi Bharat

Glenmark Cardiac Centre, Mumbai, Maharashtra, India.

Dr. Balabhai Nanavati Hospital, Mumbai, Maharashtra, India.

Ann Pediatr Cardiol. 2015 Jan-Apr;8(1):74-7. doi: 10.4103/0974-2069.149530.

A 3.5-year-old girl underwent transcatheter closure of patent ductus arteriosus in early infancy during which time her secundum atrial septal defect (ASD) was left alone. When she came for elective closure of ASD, she was found to have bilaterally blocked femoral veins. The defect was successfully closed with an Amplatzer septal occluder (ASO; St. Jude Medical, Plymouth, MN, USA) using a hybrid approach via a sub-mammary mini-thoracotomy incision without using cardiopulmonary bypass. At the end of 1-year follow-up, the child is asymptomatic with device in a stable position without any residual shunt.

一名3.5岁女童在婴儿早期接受了动脉导管未闭的经导管封堵术，当时其继发孔房间隔缺损未作处理。当她前来择期封堵房间隔缺损时，发现双侧股静脉堵塞。通过乳房下小切口采用杂交技术，在未使用体外循环的情况下，使用美国明尼苏达州普利茅斯市圣犹达医疗公司生产的Amplatzer房间隔封堵器成功封堵了缺损。随访1年结束时，患儿无症状，封堵器位置稳定，无残余分流。