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应用 Amplatzer ASD 封堵器闭合升主动脉假性动脉瘤致咯血 1 例

Use of an Amplatzer ASD Occlusion Device for the Closure of an Ascending Aortic Pseudoaneurysm Presenting as Hemoptysis.

机构信息

Department of Internal Medicine, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland 44195, OH, USA.

Department of Cardiovascular Medicine, Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland 44195, OH, USA.

出版信息

J Interv Cardiol. 2022 Feb 11;2022:9809289. doi: 10.1155/2022/9809289. eCollection 2022.

Abstract

Aortic pseudoaneurysms can commonly be caused by previous thoracic surgery, trauma, and infection, quickly becoming life-threatening if ruptured. This pathology is typically asymptomatic and incidentally found on imaging; however, few cases have outlined hemoptysis as a presenting symptom for aortic pseudoaneurysms. Traditionally, management of these patients included surgical correction; however, percutaneous approaches have emerged as a safe alternative, helping to reduce the risk of morbidity and mortality associated with surgical correction. This report seeks to describe a case in which hemoptysis was the symptom unveiling the finding of a thoracic ascending aortic pseudoaneurysm and the use of an Amplatzer atrial septal defect (ASD) occlusion device as a viable option to safely resolve the disease process.

摘要

主动脉假性动脉瘤通常可由先前的胸部手术、外伤和感染引起,如果破裂,很快就会危及生命。这种病理通常是无症状的,在影像学检查中偶然发现;然而,仅有少数病例描述了咯血是主动脉假性动脉瘤的表现症状。传统上,这些患者的治疗包括手术矫正;然而,经皮方法已成为一种安全的替代方法,有助于降低与手术矫正相关的发病率和死亡率。本报告旨在描述一例咯血是揭示胸升主动脉假性动脉瘤发现的症状,并使用 Amplatzer 房间隔缺损(ASD)封堵器作为安全解决疾病过程的可行选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c30b/8857521/eec4e9185171/JITC2022-9809289.001.jpg

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