Sagar Pramod, Thejaswi Puthiyedath, Sivakumar Kothandam
Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
Ann Pediatr Cardiol. 2023 May-Jun;16(3):215-218. doi: 10.4103/apc.apc_41_23. Epub 2023 Sep 8.
Transcatheter correction of superior sinus venosus defects using covered stent is increasingly reported in the literature and provides an alternative option to surgery in appropriately selected adults. Being a new intervention, meticulous attention to procedural techniques and precise surveillance imaging modalities are vital to detect and avoid potential early and late complications. This report highlights the occurrence of a residual interatrial communication following covered stent placement and large subclinical asymptomatic nonocclusive thrombus formation at the right atrial end of the stent. The management of both these complications is also highlighted in this report.
文献中越来越多地报道了使用覆膜支架经导管矫正上腔静脉窦缺损的情况，这为适当选择的成年人提供了一种手术替代方案。作为一种新的干预措施，对手术技术的细致关注和精确的监测成像方式对于检测和避免潜在的早期和晚期并发症至关重要。本报告强调了覆膜支架置入后残余心房内交通的发生，以及支架右心房端出现大量亚临床无症状非闭塞性血栓形成。本报告还强调了这两种并发症的处理方法。
