1例罕见的静脉窦型房间隔缺损：右心房起搏器导线异位至左心房。
A rare case of sinus venosus atrial septal defect: Malpositioned right atrial pacemaker lead in the left atrium.
作者信息
Patel Himax, Barmore Walker
机构信息
Department of Internal Medicine, Augusta University Medical Center, Augusta, GA, USA.
Department of Cardiology, Augusta University Medical Center, Augusta, GA, USA.
出版信息
J Cardiol Cases. 2023 Feb 15;27(5):203-206. doi: 10.1016/j.jccase.2023.02.005. eCollection 2023 May.
Abstract
Incidental discovery of sinus venosus atrial septal defect (SV-ASD) in the elderly is rare. This defect allows for lead malpositioning during pacemaker placement and can lead to catastrophic cardioembolic events. Post-pacemaker implantation, chest radiography should be obtained to detect malpositioning early, and if detected, lead adjustment is recommended; if identified later, treatment with an anticoagulant is feasible. SV-ASD repair may be considered as well.
摘要
老年人偶然发现静脉窦型房间隔缺损（SV-ASD）的情况较为罕见。这种缺损会在起搏器植入过程中导致电极位置不当，并可能引发灾难性的心源性栓塞事件。起搏器植入术后，应进行胸部X线检查以便早期发现电极位置不当，若检测到该情况，建议调整电极；若后期才发现，则可行抗凝治疗。也可考虑对SV-ASD进行修复。
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1
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HeartRhythm Case Rep. 2020 Feb 8;6(5):279-282. doi: 10.1016/j.hrcr.2020.01.010. eCollection 2020 May.
2
Superior sinus venosus atrial septal defect.上腔静脉型房间隔缺损
J Geriatr Cardiol. 2018 Oct;15(10):649-652. doi: 10.11909/j.issn.1671-5411.2018.10.007.
3
Tricuspid Valve Dysfunction Following Pacemaker or Cardioverter-Defibrillator Implantation.起搏器或除颤器植入术后三尖瓣功能障碍。
J Am Coll Cardiol. 2017 May 9;69(18):2331-2341. doi: 10.1016/j.jacc.2017.02.055.
4
Incidence, predictors, and outcome of inadvertent malposition of transvenous pacing or defibrillation lead in the left heart.经静脉起搏或除颤电极导线意外误置于左心的发生率、预测因素及结果
Europace. 2016 Jul;18(7):1049-54. doi: 10.1093/europace/euv270. Epub 2015 Oct 12.
5
Inadvertent malposition of a permanent pacemaker ventricular lead into the left ventricle which was initially missed and diagnosed two years later: a case report.永久性起搏器心室电极意外误置于左心室，最初未被发现，两年后才得以诊断：一例病例报告
J Med Case Rep. 2011 Feb 9;5:54. doi: 10.1186/1752-1947-5-54.
6
Sinus venosus atrial septal defect: long-term postoperative outcome for 115 patients.静脉窦型房间隔缺损：115例患者的术后长期预后
Circulation. 2005 Sep 27;112(13):1953-8. doi: 10.1161/CIRCULATIONAHA.104.493775. Epub 2005 Sep 19.
7
Sinus venosus syndrome: atrial septal defect or anomalous venous connection? A multiplane transoesophageal approach.静脉窦综合征：房间隔缺损还是异常静脉连接？多平面经食管途径。
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8
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Pacing Clin Electrophysiol. 2000 May;23(5):877-83. doi: 10.1111/j.1540-8159.2000.tb00858.x.
9
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Circulation. 1996 Sep 1;94(5):1049-55. doi: 10.1161/01.cir.94.5.1049.
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