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因下腔静脉手术改道至左心房引起医源性发绀的新型经导管介入治疗。

Novel transcatheter intervention for iatrogenic cyanosis due to surgical rerouting of inferior vena cava to the left atrium.

机构信息

Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, India.

出版信息

Catheter Cardiovasc Interv. 2023 Aug;102(2):266-272. doi: 10.1002/ccd.30757. Epub 2023 Jul 5.

Abstract

Improper identification of the atrial septal defect margins during surgery and inadvertent suturing of the surgical patch to the Eustachian valve of the inferior vena cava (IVC) results in the diversion of inferior venacaval blood to the left atrium causing cyanosis. This complication has been dealt so far with surgery. We report the planning and implementation of a novel transcatheter rediversion of the IVC to the right atrium using a covered stent.

摘要

手术中房间隔缺损边缘定位不当,以及手术补丁无意中缝合到下腔静脉(IVC)的耳咽管瓣膜,会导致下腔静脉血液分流到左心房,引起发绀。迄今为止,这种并发症一直采用手术处理。我们报告了一种使用覆膜支架将 IVC 重新经导管转移到右心房的新方法的规划和实施。

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