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经心尖肌部室间隔缺损封堵器侵蚀所致迟发性医源性左心室假性动脉瘤的封堵

Closure of a Late-Onset Iatrogenic Left Ventricular Pseudoaneurysm Caused by Erosion of an Apical Muscular VSD Device.

作者信息

Haddad Raymond N, Bou Houssein Haytham, Adel Hassan Ahmed, Kasem Mohamed

机构信息

Centre de Référence Malformations Cardiaques Congénitales Complexes, M3C, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France.

Department of Pediatric Cardiology, Heart Centre of Excellence, Al Jalila Children's Speciality Hospital, Dubai, United Arab Emirates.

出版信息

Catheter Cardiovasc Interv. 2025 Jul;106(1):23-27. doi: 10.1002/ccd.31383. Epub 2024 Dec 25.

DOI:10.1002/ccd.31383
PMID:39722562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12231419/
Abstract

We report the case of a 3-year-old asymptomatic girl (12 kg, 96 cm) who was diagnosed with a large iatrogenic left ventricular pseudoaneurysm (LVP) on follow-up ultrasound, 14 months after apical muscular ventricular septal defect (VSD) closure with a 10 mm Amplatzer Muscular VSD occluder (Abbott, USA) due to device erosion. The LVP was successfully occluded using detachable Penumbra coils, with complete thrombo-exclusion confirmed at 12-month follow-up.

摘要

我们报告了一名3岁无症状女孩（体重12千克，身高96厘米）的病例，该女孩在因封堵器侵蚀导致心尖肌部室间隔缺损（VSD）使用10毫米Amplatzer肌部VSD封堵器（美国雅培公司）封堵14个月后的随访超声检查中，被诊断出患有巨大医源性左心室假性动脉瘤（LVP）。使用可分离的Penumbra线圈成功封堵了LVP，在12个月的随访中确认完全排除血栓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/fecf3a8389c8/CCD-106-23-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/80e0fcad6a55/CCD-106-23-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/a794085ebb02/CCD-106-23-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/b4bc284508b1/CCD-106-23-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/fecf3a8389c8/CCD-106-23-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/80e0fcad6a55/CCD-106-23-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/a794085ebb02/CCD-106-23-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/b4bc284508b1/CCD-106-23-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64c9/12231419/fecf3a8389c8/CCD-106-23-g001.jpg

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Eur Heart J. 2020 Apr 7;41(14):1410. doi: 10.1093/eurheartj/ehz617.
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Coil occlusion of a congenital left ventricular aneurysm in a newborn.新生儿先天性左心室动脉瘤的线圈封堵术。
Catheter Cardiovasc Interv. 2020 Aug;96(2):389-392. doi: 10.1002/ccd.28849. Epub 2020 Mar 19.
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Congenital left ventricular aneurysms and diverticula: an entity in search of an identity.
先天性左心室动脉瘤和憩室：一个寻求明确身份的实体。
J Geriatr Cardiol. 2017 Dec;14(12):750-762. doi: 10.11909/j.issn.1671-5411.2017.12.005.
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Evolution of ventricular outpouching through the fetal and postnatal periods: Unabating dilemma of serial observation or surgical correction.胎儿期及出生后心室憩室的演变：连续观察还是手术矫正的持续困境
J Saudi Heart Assoc. 2017 Jul;29(3):203-210. doi: 10.1016/j.jsha.2016.10.004. Epub 2016 Oct 20.
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Surgical repair of left ventricular pseudoaneurysm following perventricular device closure of muscular ventricular septal defect.经心室肌部室间隔缺损封堵术后左心室假性动脉瘤的外科修复术。
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World J Pediatr Congenit Heart Surg. 2014 Oct;5(4):637-9. doi: 10.1177/2150135114541860.
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Congenit Heart Dis. 2014 Nov-Dec;9(6):498-511. doi: 10.1111/chd.12214. Epub 2014 Aug 27.
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