Şişli Emrah, Epçaçan Serdar
Department of Pediatric Cardiovascular Surgery, University of Health Sciences, Van Training and Research Hospital, Van, Turkey.
Department of Pediatric Cardiology, University of Health Sciences, Van Training and Research Hospital, Van, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jan 1;27(1):111-113. doi: 10.5606/tgkdc.dergisi.2019.16753. eCollection 2019 Jan.
An 11-month-old patient was referred with the diagnosis of Amplatzer duct occluder II embolization to the right common iliac artery during transcatheter patent ductus arteriosus closure procedure, and unsuccessful retrieval. Following extraction of the device through median laparotomy, a graft interposition was compulsorily performed due to right common iliac artery dissection. Transcatheter device occlusion of patent ductus arteriosus with low complication rates has become the preferred treatment modality in children. However, insisting on transcatheter retrieval of an occluder device should be avoided, as the outcomes can be devastating including limb loss, death or need for multiple surgical and/or endovascular procedures in the future.
一名11个月大的患者在经导管动脉导管未闭封堵术期间被诊断为Amplatzer II型动脉导管封堵器栓塞至右髂总动脉，且取出失败。通过正中剖腹手术取出封堵器后，由于右髂总动脉夹层，被迫进行了移植物植入术。经导管封堵动脉导管未闭并发症发生率低，已成为儿童的首选治疗方式。然而，应避免坚持经导管取出封堵器，因为其后果可能是灾难性的，包括肢体丧失、死亡或未来需要多次手术和/或血管内介入手术。
