封堵器移位至主动脉弓后成功取出封堵器并重新封堵房间隔缺损：一例病例报告
Successful occluder removal and reocclusion of an atrial septal defect after occluder immigration to aortic arch: a case report.
作者信息
Zhang Zaiqiang, Ding Jiawang
机构信息
Department of Cardiology, The First College of Clinical Medical Sciences, China Three Gorges University, Yichang, 443000, Hubei Province, P. R. China.
Institute of Cardiovascular Diseases, Three Gorges University, Yichang, 443000, Hubei Province, China.
出版信息
J Cardiothorac Surg. 2024 Oct 1;19(1):575. doi: 10.1186/s13019-024-03107-w.
BACKGROUND
Atrial septal defect (ASD) is a common congenital heart disease, and currently, transcatheter intervention is the most common clinical treatment method. However, certain complications still occur during the percutaneous process, among which occluder loss and displacement are rare but serious complication. Although the probability of occluder loss and displacement is low, severe cases can endanger life.
CASE PRESENTATION
Here, we report the case of a patient who underwent ASD closure in which the occluder fell off into the aortic arch, the detached occluder was recovered through catheter intervention, and the patient underwent ASD closure again.
CONCLUSIONS
In this case report, we highlight that although percutaneous closure of an ASD is regarded as a routine procedure, clinicians should remember the possibility of complications, especially occluder loss and displacement. Therefore, interventionist should carefully evaluate the situation before intervention closure, establish standardized interventional treatment procedures, and provide timely treatment follow-up.
背景
房间隔缺损（ASD）是一种常见的先天性心脏病，目前，经导管介入是最常见的临床治疗方法。然而，在经皮操作过程中仍会出现某些并发症，其中封堵器脱落和移位虽罕见但属于严重并发症。尽管封堵器脱落和移位的概率较低，但严重时可危及生命。
病例报告
在此，我们报告一例房间隔缺损封堵术患者，其封堵器掉入主动脉弓，通过导管介入回收了脱落的封堵器，患者再次接受了房间隔缺损封堵术。
结论
在本病例报告中，我们强调尽管房间隔缺损的经皮封堵被视为常规手术，但临床医生应牢记并发症的可能性，尤其是封堵器脱落和移位。因此，介入医生在介入封堵前应仔细评估病情，建立标准化的介入治疗程序，并提供及时的治疗随访。
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