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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.

DOI:10.7759/cureus.73244
PMID:39650882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11625022/
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/f6f2/11625022/8e509f1d146d/cureus-0016-00000073244-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/b2f2cb006ffb/cureus-0016-00000073244-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/e7beb1eba062/cureus-0016-00000073244-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/d10b328b8e0f/cureus-0016-00000073244-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/1c0271ee86bd/cureus-0016-00000073244-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/8e509f1d146d/cureus-0016-00000073244-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/b2f2cb006ffb/cureus-0016-00000073244-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/e7beb1eba062/cureus-0016-00000073244-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/d10b328b8e0f/cureus-0016-00000073244-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/1c0271ee86bd/cureus-0016-00000073244-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6f2/11625022/8e509f1d146d/cureus-0016-00000073244-i05.jpg

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Sufficient versus deficient rims during percutaneous closure of ostium secundum type atrial septal defect: A systematic review and meta-analysis.经皮卵圆孔未闭封堵术时充分或不足边缘的对比：系统评价和荟萃分析。
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Very late migration to and retrieval of an Amplatzer patent foramen ovale occlusion device from the abdominal aortic carrefour.极晚期从腹主动脉分叉处移行并取出Amplatzer卵圆孔未闭封堵器。
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Predictors of Atrial Septal Defect Occluder Dislodgement.房间隔缺损封堵器移位的预测因素
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Prevalence of deficient retro-aortic rim and its effects on outcomes in device closure of atrial septal defects.主动脉后间隙不足的患病率及其对房间隔缺损封堵术结局的影响。
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