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动脉导管未闭封堵术后延迟性封堵器移位,经胸主动脉腔内修复成功治疗:一例报告及文献复习

Delayed occluder displacement following patent ductus arteriosus closure successfully managed with thoracic endovascular aortic repair: a case report and literature review.

作者信息

Pan Dihao, Yu Anfeng, Li Chengcheng, Chen Liangwei, Ni Chengyao, Zhao Haige

机构信息

Department of Cardiovascular Surgery of The First Affiliated Hospital, Zhejiang University School of Medicine, 79 Qingchun Road, Hangzhou, Zhejiang, 310000, China.

Queen's University Medical Group of The Queen's Health Systems, Honolulu, HI, USA.

出版信息

J Cardiothorac Surg. 2025 Jan 7;20(1):37. doi: 10.1186/s13019-024-03334-1.

Abstract

Interventional occlusion of Patent ductus arteriosus (PDA) is generally efficacious and complications such as delayed occluder displacement are infrequent. Herein, we report a case of 24-year-old female with a history of unsuccessful PDA closures, who subsequently experienced delayed occluder displacement into the left main pulmonary artery. Despite numerous unsuccessful catheter-based interventions, thoracic endovascular aortic repair (TEVAR) was successfully executed. This procedure effectively resolved the PDA without any postprocedural complications. This case highlights the efficacy and safety of TEVAR as a viable alternative for managing complex PDA cases involving occluder displacement.

摘要

动脉导管未闭(PDA)的介入封堵通常是有效的,诸如封堵器延迟移位等并发症并不常见。在此,我们报告一例24岁女性,有PDA封堵失败史,随后出现封堵器延迟移位至左主肺动脉。尽管多次基于导管的干预未成功,但胸主动脉腔内修复术(TEVAR)成功实施。该手术有效解决了PDA问题,且无任何术后并发症。该病例突出了TEVAR作为处理涉及封堵器移位的复杂PDA病例的可行替代方案的有效性和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4210/11705684/19cf8227c124/13019_2024_3334_Fig1_HTML.jpg

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