经皮封堵卵圆孔未闭过程中发生的高度房室传导阻滞：一例报告
High-grade atrioventricular block occurring during percutaneous closure of patent foramen ovale: a case report.
作者信息
Kibler Marion, Marzak Halim, Jesel Laurence, Ohlmann Patrick
机构信息
Université de Strasbourg, Pôle d'Activité Médico-Chirurgicale Cardio-Vasculaire, Nouvel Hôpital Civil, Centre Hospitalier Universitaire, BP 426 - 67091 Strasbourg, France.
UMR 1260 INSERM Nanomédecine Régénérative Université de Strasbourg, Strasbourg, France.
出版信息
Eur Heart J Case Rep. 2020 Jun 25;4(4):1-5. doi: 10.1093/ehjcr/ytaa141. eCollection 2020 Aug.
BACKGROUND
Percutaneous closure of patent foramen ovale (PFO) is recommended for patients presenting with PFO-related stroke. Acute high-grade conduction disturbances occurring during PFO closure procedure have not been previously reported.
CASE SUMMARY
We describe for the first time a case of reversible complete atrioventricular block which occurred during closure of a PFO.
DISCUSSION
We hypothesized that the block was the result of atrioventricular node compression-likely caused by the right-atrial disc of the 35-mm PFO closure device. We suggest implanting smaller devices in order to prevent atrioventricular conduction disturbances.
背景
对于患有与卵圆孔未闭（PFO）相关中风的患者，建议行经皮卵圆孔未闭封堵术。此前尚未有关于在PFO封堵过程中发生急性高度传导障碍的报道。
病例摘要
我们首次描述了1例在PFO封堵过程中发生的可逆性完全性房室传导阻滞病例。
讨论
我们推测该阻滞是房室结受压的结果，可能由35毫米PFO封堵装置的右心房盘片所致。我们建议植入尺寸较小的装置以预防房室传导障碍。
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