Hofbeck Michael, Sieverding Ludger, Grözinger Gerd, Kagan Karl O
Department of Pediatric Cardiology, University Children's Hospital Tuebingen, Tübingen, Germany.
Department of Radiology, University Hospital Tuebingen, Tübingen, Germany.
Catheter Cardiovasc Interv. 2020 Aug;96(2):389-392. doi: 10.1002/ccd.28849. Epub 2020 Mar 19.
We report interventional treatment of a congenital left ventricular aneurysm in a neonate. The aneurysm was detected prenatally at 20 weeks of gestation. Postnatally, the aneurysm increased in size during the first few days of life and therefore we opted for interventional closure to abolish the potential risk of rupture. The aneurysm was entered with a 2.7 French microcatheter, and complete occlusion was achieved by successive placement of three detachable large volume coils (Ruby Coil Penumbra , Alameda, California). To the best of our knowledge, this is the first report describing interventional occlusion of a congenital ventricular aneurysm in early infancy. Interventional occlusion with detachable large volume coils appears to be an attractive alternative to surgical resection in patients presenting with ventricular outpouchings and narrow base connection to the ventricle.
我们报告了对一名新生儿先天性左心室动脉瘤的介入治疗。该动脉瘤在妊娠20周时产前被检测到。出生后，动脉瘤在生命的最初几天内增大，因此我们选择介入封堵以消除破裂的潜在风险。用一根2.7法国规格的微导管进入动脉瘤，通过连续放置三个可分离的大容量线圈（Ruby Coil Penumbra，阿拉米达，加利福尼亚）实现了完全闭塞。据我们所知，这是第一份描述婴儿早期先天性心室动脉瘤介入闭塞的报告。对于出现心室膨出且与心室连接基部狭窄的患者，用可分离的大容量线圈进行介入闭塞似乎是手术切除的一个有吸引力的替代方法。
