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房间隔缺损、右旋心伴下腔静脉中断患者中房间隔封堵器的非常规应用。

Unconventional deployment of atrial septal occluder in a patient with atrial septal defect, dextrocardia, and interrupted inferior vena cava.

机构信息

Department of Cardiology, Nizam's Institute of Medical Sciences, Hyderabad, India.

出版信息

Cardiol Young. 2020 Aug;30(8):1206-1208. doi: 10.1017/S104795112000178X. Epub 2020 Jun 29.

DOI:10.1017/S104795112000178X
PMID:32594956
Abstract

An atrial septal defect is a rare anomaly in patients with interrupted inferior vena cava, which renders the percutaneous intervention more complex; and hence, innovative approaches should be sought. Dextrocardia further complicates the procedure, and traditional atrial septal device deployment methods cannot be employed. We report a successful percutaneous secundum atrial septal defect closure by a novel deployment strategy along with balloon dilation of associated severe valvular pulmonary stenosis in a patient with dextrocardia and interrupted inferior vena cava.

摘要

房间隔缺损是下腔静脉中断患者中罕见的异常,这使得经皮介入更加复杂;因此,应寻求创新方法。右位心进一步使手术复杂化,并且不能采用传统的房间隔缺损装置放置方法。我们报告了 1 例右位心伴下腔静脉中断患者,采用新的放置策略成功进行了经皮房间隔缺损封堵术,并同时球囊扩张相关严重瓣叶型肺动脉瓣狭窄。

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引用本文的文献

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Pediatr Cardiol. 2021 Dec;42(8):1879-1881. doi: 10.1007/s00246-021-02708-9. Epub 2021 Sep 25.