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.
"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.
“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。
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