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经皮导管封堵术治疗时发生卵圆孔未闭导致右心房穿孔,540 克新生儿行抢救性胸骨切开术。

Rescue Sternotomy in a 540 g Neonate for Right Atrial Perforation During Percutaneous Ductal Device Occlusion.

机构信息

Division of Pediatric Cardiovascular Surgery, LeBonheur Children's Hospital, Memphis, TN, USA.

Department of Surgery, University of Tennessee Health Sciences Center, Memphis, TN, USA.

出版信息

World J Pediatr Congenit Heart Surg. 2024 Jan;15(1):120-122. doi: 10.1177/21501351231189274. Epub 2023 Sep 18.

Abstract

Percutaneous ductal device closure in neonates is gaining popularity. Cardiac perforation is a rare but catastrophic complication that can occur during this procedure. Surgical options to salvage this situation are limited in extremely low-weight babies. In this report, we describe one such case managed successfully and offer some suggestions to achieve a successful outcome.

摘要

经皮导管装置关闭术在新生儿中越来越受欢迎。心脏穿孔是一种罕见但灾难性的并发症,可在该过程中发生。在极低体重婴儿中,挽救这种情况的手术选择有限。在本报告中,我们描述了一例成功治疗的此类病例,并提出了一些建议以获得成功的结果。

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