经皮闭合卵圆孔未闭治疗低氧血症的有效性
Usefulness of percutaneous closure of patent foramen ovale for hypoxia.
作者信息
Munkres Alyssa G, Ball Timothy N, Chamogeorgakis Themistokles, Ausloos Kenneth A, Hall Shelley A, Choi James W
机构信息
Division of Cardiology, Department of Internal Medicine, Baylor Hamilton Heart and Vascular Hospital and Baylor University Medical Center at Dallas.
出版信息
Proc (Bayl Univ Med Cent). 2015 Apr;28(2):204-6. doi: 10.1080/08998280.2015.11929230.
Abstract
We report a patient with hypoxia secondary to a right-to-left shunt through a patent foramen ovale, following aortic root, valve, and arch replacement due to an aortic dissection in the setting of the Marfan syndrome. Following the operation, he failed extubation twice due to hypoxia. An extensive workup revealed a right-to-left shunt previously not seen. The patent foramen ovale was closed using a percutaneous closure device. Following closure, our patient was extubated without difficulty and has done well postoperatively.
摘要
我们报告了一名患有继发于卵圆孔未闭导致的右向左分流性缺氧的患者，该患者因马方综合征合并主动脉夹层而行主动脉根部、瓣膜及弓部置换术后出现此情况。术后，他因缺氧两次拔管失败。全面检查发现了此前未发现的右向左分流。使用经皮封堵装置关闭了卵圆孔未闭。封堵后，我们的患者顺利拔管，术后恢复良好。
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本文引用的文献
1
A change of heart: reopening of a foramen ovale.
Can J Cardiol. 2014 Oct;30(10):1250.e17-8. doi: 10.1016/j.cjca.2014.03.027. Epub 2014 Mar 26.
2
Platypnea-orthodeoxia syndrome in the elderly treated by percutaneous patent foramen ovale closure: a case series and literature review.
Eur J Intern Med. 2013 Dec;24(8):813-7. doi: 10.1016/j.ejim.2013.08.698. Epub 2013 Sep 3.
3
Effectiveness of percutaneous closure of patent foramen ovale for hypoxemia.
Am J Cardiol. 2013 Oct 15;112(8):1258-62. doi: 10.1016/j.amjcard.2013.06.022. Epub 2013 Jul 19.
4
Closure of patent foramen ovale versus medical therapy after cryptogenic stroke.
N Engl J Med. 2013 Mar 21;368(12):1092-100. doi: 10.1056/NEJMoa1301440.
5
Percutaneous closure of patent foramen ovale in cryptogenic embolism.
N Engl J Med. 2013 Mar 21;368(12):1083-91. doi: 10.1056/NEJMoa1211716.
6
Long-term outcomes after percutaneous patent foramen ovale closure.
Am J Med Sci. 2013 Sep;346(3):181-6. doi: 10.1097/MAJ.0b013e318276b071.
7
Right-to-left atrial shunting associated with aortic root aneurysm: a case report of a rare cause of platypnea-orthodeoxia syndrome.
Heart Lung Circ. 2013 Jan;22(1):71-5. doi: 10.1016/j.hlc.2012.08.007. Epub 2012 Sep 19.
8
Transcatheter closure of patent foramen ovale for hypoxemia during left ventricular assist device support.
J Card Surg. 2012 Jul;27(4):528-9. doi: 10.1111/j.1540-8191.2012.01476.x. Epub 2012 May 20.
9
Closure or medical therapy for cryptogenic stroke with patent foramen ovale.
N Engl J Med. 2012 Mar 15;366(11):991-9. doi: 10.1056/NEJMoa1009639.
10
Right-to-left atrial shunting with normal intracardiac pressures following cardiac surgery: pathophysiology and management.
J Card Surg. 2012 May;27(3):335-7. doi: 10.1111/j.1540-8191.2011.01362.x. Epub 2011 Dec 7.
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