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左心耳封堵器钩致肺动脉延迟穿孔。

Delayed Pulmonary Artery Perforation With Left Atrial Appendage Occluder Hooks.

机构信息

Department of Cardiac Surgery, Military Institute of Medicine, Warsaw, Poland.

Department of Cardiac Surgery, Military Institute of Medicine, Warsaw, Poland.

出版信息

Ann Thorac Surg. 2016 Feb;101(2):e37-9. doi: 10.1016/j.athoracsur.2015.09.026.

DOI:10.1016/j.athoracsur.2015.09.026
PMID:26777968
Abstract

We describe a case of delayed pulmonary artery perforation with the anchoring hooks of the Amplazer Cardiac Plug (ACP) (St Jude Medical, MN), which occurred 17 days after its proper and uncomplicated implantation. The patient was successfully treated with a surgical procedure. Technologic improvement of the ACP anchoring system seems to be most rational solution necessary to eliminate the risk of the adverse event described here.

摘要

我们描述了一例延迟性肺动脉穿孔的病例,该病例的罪魁祸首是 Amplazer 心脏封堵器(ACP)(圣犹达医疗公司,明尼苏达州)的锚定钩,该穿孔发生在其正确且无并发症的植入 17 天后。患者通过手术成功得到治疗。ACP 锚定系统的技术改进似乎是消除此处描述的不良事件风险的最合理解决方案。

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引用本文的文献

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Pulmonary artery perforation after percutaneous left atrial appendage closure: two case reports and review of literature.经皮左心耳封堵术后肺动脉穿孔:两例病例报告及文献复习
J Interv Card Electrophysiol. 2025 Jul 22. doi: 10.1007/s10840-025-02090-z.
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Late Presentation of Pulmonary Artery-Left Atrial Appendage Fistula Formation After Left Atrial Appendage Device Closure.左心耳封堵术后肺动脉-左心耳瘘形成的延迟表现
JACC Case Rep. 2020 May 20;2(5):814-818. doi: 10.1016/j.jaccas.2020.02.025. eCollection 2020 May.
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Cardiol J. 2021;28(2):342-344. doi: 10.5603/CJ.a2021.0024. Epub 2021 Feb 26.
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Systematic Review of Contiguous Vessel and Valve Injury Associated with Endocardial Left Atrial Appendage Occlusion Devices.与心内膜左心耳封堵装置相关的相邻血管和瓣膜损伤的系统评价
J Atr Fibrillation. 2019 Aug 31;12(2):2256. doi: 10.4022/jafib.2256. eCollection 2019 Aug-Sep.
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Left Atrial Appendage Transcatheter Occlusion with AMPLATZER™ Amulet™ Device: Real Life Data with Mid-Term Follow-Up Results.左心耳经导管封堵术联合 AMPLATZER™ Amulet™装置:中期随访结果的真实世界数据。
Arq Bras Cardiol. 2019 Jul 29;113(4):712-721. doi: 10.5935/abc.20190138. eCollection 2019.