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对一名体重1050克婴儿实施手术取出栓塞的动脉导管未闭封堵装置。

Surgical retrieval of an embolized patent ductus arteriosus closure device in an infant weighing 1050 G.

作者信息

Selcuk Arif, Bishnoi Arvind Kumar, Kanter Joshua, Yerebakan Can

机构信息

Division of Cardiac Surgery, Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

Division of Cardiology, Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

出版信息

Interdiscip Cardiovasc Thorac Surg. 2023 Oct 4;37(4). doi: 10.1093/icvts/ivad162.

Abstract

The dislodgement of device during transcatheter procedure is a rare complication and the device can be retrieved by transcatheter techniques in most cases. In case of failed attempts, the surgery may be required and in haemodynamically unstable patients cardiopulmonary bypass (CPB) may be unavoidable. A case of surgical retrieving of patent ductus arteriosus (PDA) occlusion device (OD) from the right pulmonary artery (PA) in a 1050 g baby on CPB was presented. In literature, CPB use in babies weighing under 1 kg has been rarely reported. CPB support was performed securely in our case who is one of the tiniest patients operated on. CPB can be safe enough in the surgical approach of a complication of very low birth weight patient.

摘要

经导管操作过程中装置移位是一种罕见的并发症,大多数情况下可通过经导管技术取出装置。若尝试失败,则可能需要进行手术,对于血流动力学不稳定的患者,体外循环(CPB)可能不可避免。本文介绍了一例体重1050克的婴儿在体外循环下从右肺动脉(PA)手术取出动脉导管未闭(PDA)封堵装置(OD)的病例。在文献中,很少有关于体重不足1千克婴儿使用体外循环的报道。在我们这个病例中,体外循环支持得以安全进行,该病例是接受手术的最小患者之一。对于极低出生体重患者并发症的手术处理,体外循环可以足够安全。

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