Jia Lili, Yang Zhenwen, Du Xin, Wan Zheng, Huang Canliang
Department of Cardiology, Tianjin Medical University General Hospital, 154, Anshan Road, Heping District, Tianjin 300052, PR China.
J Cardiol Cases. 2011 Nov 9;5(1):e58-e60. doi: 10.1016/j.jccase.2011.10.001. eCollection 2012 Feb.
A 50-year-old male patient with a secundum-type atrial septal defect (ASD) suffering from respiratory distress for 7 days was referred to our hospital. Transthoracic echocardiography demonstrated the defects of 9 mm and 4 mm in the middle atrial septum in the parasternal four-chamber view. However, we found not 2, but 6 atrial defects by using real time 3-dimensional transesophageal echocardiography. Open heart surgery was not indicated, because his pulmonary function was poor. After fully informed consent, we decided to treat ASD with Amplatzer septal occluders.
一名50岁男性继发孔型房间隔缺损(ASD)患者,因呼吸窘迫7天被转诊至我院。经胸超声心动图在胸骨旁四腔心切面显示房间隔中部有9毫米和4毫米的缺损。然而,通过实时三维经食管超声心动图,我们发现不是2个,而是6个房间隔缺损。由于其肺功能较差,未行心脏直视手术。在获得充分知情同意后,我们决定用Amplatzer房间隔封堵器治疗房间隔缺损。