Karuru Uma Devi, Gupta Saurabh Kumar
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Cardiol Young. 2021 Mar;31(3):488-489. doi: 10.1017/S1047951120004084. Epub 2020 Nov 18.
It is not uncommon to have prolapse of the atrial septal occluder device despite accurate measurement of atrial septal defect and an appropriately chosen device. This is particularly a problem in cases with large atrial septal defect with absent aortic rim. Various techniques have been described for successful implantation of atrial septal occluder in such a scenario. The essence of all these techniques is to prevent prolapse of the left atrial disc through the defect while the right atrial disc is being deployed. In this brief report, we illustrate the use of cobra head deformity of the device to successfully deploy the device across the atrial septum.
尽管对房间隔缺损进行了精确测量并选择了合适的封堵器，但房间隔封堵器发生脱垂的情况并不少见。这在大型房间隔缺损且无主动脉边缘的病例中尤为突出。在这种情况下，已经描述了各种成功植入房间隔封堵器的技术。所有这些技术的关键在于，在展开右心房盘时，防止左心房盘通过缺损处脱垂。在本简要报告中，我们展示了利用封堵器的“眼镜蛇头”畸形成功将封堵器跨房间隔展开的方法。
