经胸部署室间隔缺损封堵装置直接经皮修复左心室假性动脉瘤
Direct Percutaneous Repair of Left Ventricular Pseudoaneurysm via Transthoracic Deployment of a Ventricular Septal Defect Closure Device.
作者信息
Moriarty John, Harris Tyler J, Vorobiof Gabriel, Kwon Murray, Aboulhosn Jamil
出版信息
Tex Heart Inst J. 2015 Aug 1;42(4):362-6. doi: 10.14503/THIJ-14-4243. eCollection 2015 Aug.
Abstract
In this case report, we describe direct percutaneous delivery of a muscular-ventricular-septal-defect occluder device to close a left ventricular pseudoaneurysm. The occluder was positioned and deployed with the aid of concurrent transthoracic ultrasonography, transesophageal echocardiography, and fluoroscopy. In contrast with previously published reports, we describe and illustrate a direct transthoracic route across the pseudoaneurysmal sac, which obviated the need for indirect transfemoral or transapical approaches.
摘要
在本病例报告中，我们描述了经皮直接植入肌部室间隔缺损封堵器以闭合左心室假性动脉瘤。在同期经胸超声心动图、经食管超声心动图和荧光透视检查的辅助下对封堵器进行定位和部署。与先前发表的报告不同，我们描述并展示了一条直接经胸穿过假性动脉瘤囊的路径，从而无需采用间接经股或经心尖入路。
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