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一例室间隔缺损经导管封堵成功后发生急性心肌梗死的病例。

A case of acute myocardial infarction after successful transcatheter closure of ventricular septal defect.

作者信息

Xianglan Liu, Jian Wu, Xia Gu, Di Chi, Jingyi Zhu, Bo Zhang, Bo Yu, Yong Sun

机构信息

The Key Laboratory of Myocardial Ischemia, Harbin Medical University, Ministry of Education, Harbin, Heilongjiang, China.

Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.

出版信息

Eur Heart J Suppl. 2016 May;18(Suppl F):F31-F34. doi: 10.1093/eurheartj/suw039. Epub 2016 May 24.

Abstract

Congenital heart diseases can be treated without surgery through advances in interventional cardiology. Complications such as infection and thrombus formation may develop due to foreign materials used during these procedures. Paradoxical embolism is a rare complication of transcatheter closure of ventricular septal defect (VSD) and could be responsible for acute myocardial infarction. Herein, we present a case of coronary thrombosis in a 2-year-old patient with VSD, which was closed with the Amplatzer VSD device. Although extremely rare, it should be considered in the appropriate clinical setting.

摘要

通过介入心脏病学的进展,先天性心脏病可以不经手术治疗。由于这些手术中使用的异物,可能会出现感染和血栓形成等并发症。反常栓塞是室间隔缺损(VSD)经导管封堵术的一种罕见并发症,可能导致急性心肌梗死。在此,我们报告一例2岁VSD患者发生冠状动脉血栓形成的病例,该患者使用Amplatzer VSD封堵器进行了封堵。尽管极为罕见,但在适当的临床情况下应予以考虑。

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