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二尖瓣经导管缘对缘修复术后医源性房间隔缺损封堵：何时进行封堵？

Iatrogenic Atrial Septal Defect Closure Following Mitral Transcatheter Edge-to-Edge Repair: When Do You Close?

作者信息

Shetty Mrinali, Lampert Mark B, Levisay Justin, Erwin John P, Ricciardi Mark J

机构信息

Division of Cardiology, Department of Medicine, NorthShore University Healthsystem, Evanston, Illinois, USA.

University of Chicago Pritzker School of Medicine, Chicago Illinois, USA.

出版信息

JACC Case Rep. 2020 Dec 17;3(3):357-360. doi: 10.1016/j.jaccas.2020.12.009. eCollection 2021 Mar.

DOI:10.1016/j.jaccas.2020.12.009
PMID:34317536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8311052/
Abstract

Transcatheter edge-to-edge repair has revolutionized the management of mitral regurgitation in the high surgical-risk population. Iatrogenic atrial septal defects (iASDs) are an obligatory consequence of the procedure. The long-term sequelae of persistent iASDs are unknown but are believed to be dependent on their size, directionality of flow, and underlying hemodynamics. We discuss an uncommon scenario of a post-transcatheter edge-to-edge repair iASD that required immediate closure. ().

摘要

经导管缘对缘修复术彻底改变了高手术风险人群二尖瓣反流的治疗方式。医源性房间隔缺损（iASD）是该手术必然会出现的结果。持续性iASD的长期后遗症尚不清楚，但据信取决于其大小、血流方向和潜在的血流动力学。我们讨论了一例经导管缘对缘修复术后iASD的罕见情况，该缺损需要立即封堵。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9349/8311052/f2e344edc9ae/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9349/8311052/aa6d68b16436/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9349/8311052/f2e344edc9ae/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9349/8311052/aa6d68b16436/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9349/8311052/f2e344edc9ae/gr1.jpg

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Right-to-Left Shunt Through Iatrogenic Atrial Septal Defect After MitraClip Procedure.
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