Barik Ramachandra, Mahapatra Rudrapratap
Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cardiothoracic Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cureus. 2022 Jul 29;14(7):e27447. doi: 10.7759/cureus.27447. eCollection 2022 Jul.
Device closure of an eccentric atrial septal defect can be challenging and needs technical modifications to avoid unnecessary complications. Here, we present a case of a 45-year-old woman who underwent device closure of an eccentric defect with a large device. The patient developed pericardial effusion and left-sided pleural effusion due to injury to the junction of right atrium and superior vena cava because of the malalignment of the delivery sheath and left atrial disc before the device was pulled across the eccentric defect despite releasing the left atrial disc in the left atrium in place of the left pulmonary vein. These two serious complications were managed conservatively with close monitoring of the case during and after the procedure.
采用装置闭合偏心型房间隔缺损具有挑战性，需要进行技术改进以避免不必要的并发症。在此，我们报告一例45岁女性患者，该患者采用大型装置闭合偏心型缺损。尽管已将左心房盘片释放至左心房以替代左肺静脉，但在装置穿过偏心型缺损之前，由于输送鞘管和左心房盘片未对齐，导致右心房与上腔静脉交界处受损，患者出现心包积液和左侧胸腔积液。这两种严重并发症通过在手术期间及术后密切监测病情进行保守处理。
