Arnaz Ahmet, Turkekul Yasemin, Yalcinbas Yusuf, Saygili Arda, Sarioglu Tayyar
Tex Heart Inst J. 2016 Dec 1;43(6):541-542. doi: 10.14503/THIJ-15-5635. eCollection 2016 Dec.
Transcatheter device implantation has become an attractive alternative to surgery in the closure of atrial septal defects in selected patients. However, it can lead to early and late sequelae, some of them life threatening. For example, 79 days before her admission to our emergency department with sudden-onset respiratory distress and respiratory arrest (leading to cardiac tamponade and rupture), a 22-year-old woman had undergone percutaneous closure of an atrial septal defect. We describe the damage and its treatment. Although the adverse effects of transcatheter device implantation are rare, physicians should know that these events can be life threatening. Further data are needed to prevent such sequelae and to design new devices. It is of utmost importance that patients and their family members be informed both of possible sequelae and of life-saving interventions to be administered at early diagnosis.
经导管装置植入术已成为特定患者闭合房间隔缺损时一种有吸引力的手术替代方案。然而，它可能导致早期和晚期后遗症，其中一些会危及生命。例如，一名22岁女性在因突发呼吸窘迫和呼吸骤停（导致心脏压塞和破裂）入住我们急诊科的79天前，接受了经皮房间隔缺损闭合术。我们描述了损伤情况及其治疗方法。尽管经导管装置植入术的不良反应很少见，但医生应该知道这些事件可能危及生命。需要更多数据来预防此类后遗症并设计新装置。让患者及其家属了解可能的后遗症以及早期诊断时要采取的挽救生命的干预措施至关重要。
