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A large type I right pulmonary artery to left atrium fistula: underwent successful percutaneous device closure with duct occluder-a rare case report.一例大型I型右肺动脉至左心房瘘：经皮使用封堵器成功封堵——罕见病例报告
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本文引用的文献

1
Amplatzer vascular plug IV for occlusion of pulmonary arteriovenous malformations in a patient with cryptogenic stroke.用于封堵不明原因卒中患者肺动静脉畸形的Amplatzer血管塞IV型
Ann Pediatr Cardiol. 2014 May;7(2):145-7. doi: 10.4103/0974-2069.132498.
2
Right pulmonary artery to left atrium fistula: transcatheter closure without conventional venovenous loop.右肺动脉至左心房瘘：无需传统静脉-静脉环的经导管封堵术。
J Invasive Cardiol. 2012 Jul;24(7):E145-7.
3
Trans-septal closure of a right pulmonary artery to left atrial communication.经房间隔闭合右肺动脉至左心房交通。
Catheter Cardiovasc Interv. 2010 Jun 1;75(7):1096-9. doi: 10.1002/ccd.22385.
4
Transcatheter closure of large pulmonary arteriovenous fistula including pulmonary artery to left atrial fistula with Amplatzer septal occluder.使用Amplatzer房间隔封堵器经导管闭合大型肺动静脉瘘，包括肺动脉至左心房瘘。
Catheter Cardiovasc Interv. 2007 Sep;70(3):422-8. doi: 10.1002/ccd.21163.
5
Physiological studies in congenital heart disease; circulatory dynamics in the anomalies of venous return to the heart including pulmonary arteriovenous fistula.
Bull Johns Hopkins Hosp. 1950 Jan;86(1):20-57.
6
Transcatheter closure of fistula between the right pulmonary artery and left atrium using the Amplatzer duct occluder.使用Amplatzer导管封堵器经导管闭合右肺动脉与左心房之间的瘘管。
Catheter Cardiovasc Interv. 2004 Sep;63(1):83-6. doi: 10.1002/ccd.20069.
7
Pulmonary arteriovenous fistulas; physiologic and clinical considerations.肺动静脉瘘；生理与临床考量
Am J Med. 1962 Mar;32:417-35. doi: 10.1016/0002-9343(62)90131-6.
8
MASSIVE PULMONARY ARTERIOVENOUS FISTULA IN THE NEWBORN; A CORRECTABLE FORM OF "CYANOTIC HEART DISEASE;" AN ADDITIONAL CAUSE OF CYANOSIS WITH LEFT AXIS DEVIATION.新生儿巨大肺动静脉瘘；一种可纠正的“青紫型心脏病”；伴有左轴偏移的青紫的另一个原因。
Circulation. 1965 May;31:762-7. doi: 10.1161/01.cir.31.5.762.
9
Physiologic studies in a patient with a pulmonary arteriovenous fistula.
Am J Med. 1954 Jul;17(1):126-33. doi: 10.1016/0002-9343(54)90213-2.
10
Transcatheter closure of direct communication between right pulmonary artery and left atrium using Amplatzer device.使用Amplatzer装置经导管闭合右肺动脉与左心房之间的直接交通。
Heart. 2003 Oct;89(10):1210. doi: 10.1136/heart.89.10.1210.

使用血管封堵器经导管闭合直接的右肺动脉至左心房分流。

Transcatheter closure of direct right pulmonary artery to left atrial communication using vascular plug.

作者信息

Kumar Vipin, Varghese Mithun Jacob, George Oommen K

机构信息

Christian Medical College, Vellore, Vellore, Tamilnadu, India.

Department of Cardiology, Christian Medical College, Vellore, Tamilnadu, India.

出版信息

BMJ Case Rep. 2015 Nov 24;2015:bcr2015212878. doi: 10.1136/bcr-2015-212878.

DOI:10.1136/bcr-2015-212878
PMID:26604236
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4680293/
Abstract

A direct right pulmonary artery to left atrial fistula is a rare congenital condition in which patients usually present with isolated cyanosis in the absence of abnormal cardiovascular findings. We report the percutaneous closure of such a defect in a young woman who presented with severe cyanosis. This was achieved without making a conventional venovenous loop and was performed using an Amplatzer vascular plug. We believe, in patients with a suitable anatomy, closure with vascular plug without a venovenous loop should be the method of choice for treating this malady in view of the technical ease.

摘要

右肺动脉至左心房直接瘘是一种罕见的先天性疾病，患者通常在无心血管异常表现的情况下出现单纯性发绀。我们报告了一名患有严重发绀的年轻女性患者的这种缺损的经皮封堵术。该封堵术无需制作传统的静脉-静脉环，而是使用Amplatzer血管封堵器完成。我们认为，鉴于技术操作简便，对于解剖结构合适的患者，不制作静脉-静脉环而使用血管封堵器进行封堵应是治疗这种疾病的首选方法。