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经导管装置封堵左心室壁假性动脉瘤:一种新兴的治疗选择。

Transcatheter device closure of pseudoaneurysms of the left ventricular wall: An emerging therapeutic option.

作者信息

Madan Tarun, Juneja Manish, Raval Abhishek, Thakkar Bhavesh

机构信息

Cardiology Department, U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, India.

Cardiology Department, U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, India.

出版信息

Rev Port Cardiol. 2016 Feb;35(2):115.e1-5. doi: 10.1016/j.repc.2015.06.013. Epub 2016 Feb 4.

Abstract

Left ventricular pseudoaneurysm is a rare but serious complication of acute myocardial infarction and cardiac surgery. While surgical intervention is the conventional therapeutic option, transcatheter closure can be considered in selected patients with suitable morphology of the pseudoaneurysm. We report a case of successful transcatheter closure of a left ventricular pseudoaneurysm orifice and isolation of the sac using an Amplatzer septal occluder.

摘要

左心室假性动脉瘤是急性心肌梗死和心脏手术后一种罕见但严重的并发症。虽然手术干预是传统的治疗选择,但对于假性动脉瘤形态合适的特定患者,可以考虑经导管封堵。我们报告一例使用Amplatzer房间隔封堵器成功经导管封堵左心室假性动脉瘤开口并隔离瘤体的病例。

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