经皮房间隔封堵失败伴装置栓塞的微创矫正
Minimally Invasive Correction of Failed Percutaneous Atrial Septal Closure with Device Embolization.
作者信息
Costa Vlander, Caldonazo Tulio, Montanhesi Paola, Fischer Johannes, Mukharyamov Murat, Kirov Hristo, Doenst Torsten
机构信息
Department of Cardiac Surgery, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Cardiothoracic Surgery, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
出版信息
Thorac Cardiovasc Surg Rep. 2024 Mar 15;13(1):e12-e15. doi: 10.1055/a-2276-9898. eCollection 2024 Jan.
We present the case of a minimally invasive surgical correction for failed percutaneous atrial septal defect (ASD) closure in a 57-year-old female patient with residual ASD, tricuspid regurgitation, atrial fibrillation, and embolization of one of two occluders to the superior mesenteric artery. Our surgical approach consisted of anterolateral minithoracotomy, aortic and femoral vein cannulation, cryoablation, cardiac device removal, closure of ASD with autologous pericardium, and tricuspid repair. The procedure was uneventful and patient was discharged home on postoperative day 4.
我们报告了一例57岁女性患者的微创外科手术矫正案例，该患者曾行经皮房间隔缺损（ASD）封堵术失败，存在残余ASD、三尖瓣反流、心房颤动，且两个封堵器之一栓塞至上肠系膜动脉。我们的手术方法包括前外侧小切口开胸、主动脉和股静脉插管、冷冻消融、取出心脏装置、用自体心包关闭ASD以及三尖瓣修复。手术过程顺利，患者于术后第4天出院回家。
Zotero 插件