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经导管封堵室间隔缺损封堵器致主动脉瓣反流的 Neo-cusp 重建术。

Neo-cusp Reconstruction Procedure for Aortic Regurgitation Induced by Transcatheter Occluder Device for Ventricular Septal Defect Closure.

机构信息

Department of Pediatric Cardiology, 425959Fortis Pediatric and Congenital Heart Centre, Mulund, Mumbai, India.

Department of Pediatric Cardiac Anaesthesia and Critical Care, 425959Fortis Pediatric and Congenital Heart Centre, Mulund, Mumbai, India.

出版信息

World J Pediatr Congenit Heart Surg. 2022 Jul;13(4):495-498. doi: 10.1177/21501351221104419.

DOI:10.1177/21501351221104419
PMID:35757954
Abstract

Aortic regurgitation after transcatheter device closure of a perimembranous ventricular septal defect is a known complication. We present the case of an 11-year-old boy with severe aortic valve regurgitation due to cusp perforation complicating previous device closure of a ventricular septal defect. The patient underwent successful aortic valve repair (neo-cusp reconstruction technique) by replacement of a cusp and shaving off of a rim of the device 5 years after device closure.

摘要

经导管装置闭合膜周部室间隔缺损后发生主动脉瓣反流是一种已知的并发症。我们报告了一例 11 岁男孩的病例,该患者因瓣叶穿孔导致严重主动脉瓣反流,此前曾接受过室间隔缺损装置闭合治疗。在装置闭合 5 年后,该患者接受了成功的主动脉瓣修复(新瓣叶重建技术),包括替换一个瓣叶和削除装置的边缘。

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