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一枚封堵器被困于左心室流出道:病例报告

An Amplatzer Septal Occluder Trapped in the Left Ventricular Outflow Tract: A Case Report.

作者信息

Bellofatto Piazza Nicolas, Ben Yedder Mohamed, Delmas Marie, El Nakadi Badih

机构信息

General Surgery, Université Libre de Bruxelles, Brussels, BEL.

Cardiology, HUmani - CHU Charleroi-Chimay, Lodelinsart, BEL.

出版信息

Cureus. 2024 Nov 7;16(11):e73244. doi: 10.7759/cureus.73244. eCollection 2024 Nov.

Abstract

We present the case of a 32-year-old female patient who presented at the cardiology consultation with shortness of breath and palpitations. A large inter-atrial defect was identified through echocardiography, prompting the cardiology team to perform a percutaneous closure procedure using the Amplatzer Atrial Septal Occluder (Abbott Laboratories, Abbott Park, IL, USA). Seven weeks later, a migration of the prosthetic device into the left ventricular outflow tract was diagnosed. A surgical procedure was immediately performed to explant the device and repair the defect. This case highlights the importance of vigilant monitoring in patients undergoing percutaneous closure procedures to detect severe complications such as device migration at an earlier stage.

摘要

我们报告了一名32岁女性患者的病例,该患者因呼吸急促和心悸前来心脏科会诊。经超声心动图检查发现一个大型房间隔缺损,促使心脏科团队使用Amplatzer房间隔封堵器(美国伊利诺伊州雅培公园雅培实验室)进行经皮封堵手术。七周后,诊断出人工装置迁移至左心室流出道。立即进行了外科手术取出装置并修复缺损。该病例强调了在接受经皮封堵手术的患者中进行密切监测的重要性,以便在早期阶段发现诸如装置迁移等严重并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/b2f2cb006ffb/cureus-0016-00000073244-i01.jpg

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