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经皮成功闭合多个房间隔缺损的病例报告

A case report of percutaneous successful closure of multiple atrial septal defect.

作者信息

Jia Lili, Yang Zhenwen, Du Xin, Wan Zheng, Huang Canliang

机构信息

Department of Cardiology, Tianjin Medical University General Hospital, 154, Anshan Road, Heping District, Tianjin 300052, PR China.

出版信息

J Cardiol Cases. 2011 Nov 9;5(1):e58-e60. doi: 10.1016/j.jccase.2011.10.001. eCollection 2012 Feb.

Abstract

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.

摘要

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。

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