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经导管封堵房间隔缺损致封堵器栓塞至右心室流出道的麻醉管理

Anesthetic management of Amplatzer atrial septal defect closure device embolization to right ventricular outflow tract.

作者信息

Das S, Kumar P, Bhardwaj V, Palleti R

机构信息

Department of Cardiac Anesthesia, All India Institute of Medical Sciences, New Delhi, India.

Department of Cardiothoracic Surgery, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Saudi J Anaesth. 2016 Jul-Sep;10(3):335-8. doi: 10.4103/1658-354X.174911.

Abstract

Percutaneous device closure of atrial septal defect (ASD) is an alternative treatment to surgery with advantages of avoidance of surgery, short procedure time, early discharge from hospital, and lower rates of complications. However, percutaneous device closure is associated with infrequent life-threatening complications such as device embolization. We report a case device embolization of the ASD occlude device into right ventricular outflow tract resulting progressive hypoxia. The role of anesthesiologist as a team leader in managing such emergency is discussed.

摘要

经皮房间隔缺损封堵术是手术治疗的一种替代方法,具有避免手术、手术时间短、住院时间早和并发症发生率低等优点。然而,经皮封堵术也会伴有罕见但危及生命的并发症,如封堵器栓塞。我们报告了一例房间隔缺损封堵器栓塞至右心室流出道导致进行性缺氧的病例。本文讨论了麻醉医生作为团队领导者在处理此类紧急情况中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fcbb/4916821/072704075c2f/SJA-10-335-g001.jpg

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