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封堵器取出与“瑞士奶酪”型室间隔缺损的完全分隔

Occluder Device Removal and Total Septation of "Swiss-Cheese" Ventricular Septal Defects.

作者信息

Morse Andrew K, Dobrila Julija, LaPar Damien J, Salazar Jorge D

机构信息

Children's Heart Institute, Children's Memorial Hermann Hospital, University of Texas Health Science Center at Houston McGovern Medical School, Houston, TX, USA.

出版信息

Ann Thorac Surg Short Rep. 2024 Jun 4;2(4):829-831. doi: 10.1016/j.atssr.2024.05.010. eCollection 2024 Dec.

DOI:10.1016/j.atssr.2024.05.010
PMID:39790623
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11708346/
Abstract

"Swiss-cheese" ventricular septal defects present complex treatment challenges. Despite difficult defect visualization and closure, complete septation is the treatment of choice. We present the case of a 2-year-old with residual apical "Swiss-cheese" ventricular septal defects after failed percutaneous device closure with 2 occluder devices. Surgical removal of 1 device and primary closure of the defects via right apical ventriculotomy resulted in successful complete septation.

摘要

“瑞士奶酪”型室间隔缺损带来了复杂的治疗挑战。尽管缺损可视化和闭合操作困难，但完全分隔仍是首选治疗方法。我们报告一例2岁患儿，在用2个封堵器经皮封堵失败后，仍残留心尖部“瑞士奶酪”型室间隔缺损。手术取出1个封堵器，并通过右心尖心室切开术对缺损进行一期闭合，成功实现了完全分隔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6212/11708346/5e33b6c336c1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6212/11708346/e07dd2efb029/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6212/11708346/7b35160dce0b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6212/11708346/5e33b6c336c1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6212/11708346/e07dd2efb029/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6212/11708346/7b35160dce0b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6212/11708346/5e33b6c336c1/gr3.jpg

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本文引用的文献

1
A review of the therapeutic management of multiple ventricular septal defects.多发型室间隔缺损的治疗管理综述。
J Card Surg. 2022 May;37(5):1361-1376. doi: 10.1111/jocs.16289. Epub 2022 Feb 11.
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Biventricular surgical repair of "Swiss Cheese" ventricular septal defects with two-patch and right ventricle apex excluding technique: preliminary experience and clinical results.双心室“瑞士奶酪”室间隔缺损的两补片加右心室心尖排除技术的外科修复：初步经验和临床结果。
J Cardiothorac Surg. 2021 Mar 20;16(1):33. doi: 10.1186/s13019-021-01399-w.
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Outcomes of Patients Undergoing Surgical Management of Multiple Ventricular Septal Defects.
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Techniques and results in the management of multiple ventricular septal defects.多发性室间隔缺损的治疗技术与结果
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