Van Ligten Matthew J, Rappaport Douglas E, Querin Lauren B, Martini Wayne A
Emergency Medicine, Mayo Clinic Alix School of Medicine, Scottsdale, USA.
Emergency Medicine, Mayo Clinic Arizona, Phoenix, USA.
Cureus. 2024 Jun 10;16(6):e62073. doi: 10.7759/cureus.62073. eCollection 2024 Jun.
Atrial septal defects are a common congenital malformation that can lead to an elevated risk for stroke due to the bypass of the lungs by deep vein thrombosis, as well as the expected repercussions of pulmonary hypertension if left untreated. Surgical intervention is definitive; however, recent advancements in treatment options, such as percutaneous intervention, represent a safer and equally effective way to treat this congenital complication. While safer, percutaneous interventions can also lead to adverse events that may force patients to present to the emergency department. Here, we present a unique case of a patient with congenital atrial septal defect status post-percutaneous intervention who developed a new-onset second-degree AV block, Mobitz type 1 Wenckebach rhythm.
房间隔缺损是一种常见的先天性畸形，由于深静脉血栓绕过肺部，可导致中风风险升高，若不治疗还会引发肺动脉高压的预期后果。手术干预是确定性的；然而，治疗选择方面的最新进展，如经皮介入治疗，是治疗这种先天性并发症更安全且同样有效的方法。虽然经皮介入治疗更安全，但也可能导致不良事件，使患者不得不前往急诊科就诊。在此，我们报告一例经皮介入治疗后患有先天性房间隔缺损的患者出现新发二度房室传导阻滞、莫氏Ⅰ型文氏节律的独特病例。
