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房间隔缺损封堵器封堵术后心房壁穿孔：一例报告

Atrial Wall Perforation After Atrial Septal Defect Device Closure: A Case Report.

作者信息

Bekheet Samia, Abouzahr Riad, Ahmad Zaheer, Abdulrahman Osama A, Yousef Aly A

机构信息

Pediatric Cardiology, Cairo University, Cairo, EGY.

Pediatric Cardiology, King Faisal Specialist Hospital and Research Centre, Jeddah, SAU.

出版信息

Cureus. 2025 Mar 29;17(3):e81411. doi: 10.7759/cureus.81411. eCollection 2025 Mar.

DOI:10.7759/cureus.81411
PMID:40296984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12037193/
Abstract

Transcatheter device closure is currently the first modality of choice in the management of secundum atrial septal defects (ASDs). We report a seven-year-old child with secundum ASD who underwent transcatheter ASD device closure using the Amplatzer septal occluder (ASO) (AGA Medical Corporation, Golden Valley, Minnesota, United States). Two weeks after the procedure, the patient presented with life-threatening acute pericardial effusion as a result of atrial roof erosion. Diagnosis was confirmed by echocardiography and cardiac CT scan. Surgical removal of the device and repair of the tear in the atrium together with ASD closure were done. Although rare, cardiac erosion is a significant and life-threatening complication after transcatheter ASD device closure that should not be underestimated.

摘要

经导管装置封堵术目前是继发孔型房间隔缺损（ASD）治疗的首选方式。我们报告了一名患有继发孔型ASD的7岁儿童，其接受了使用Amplatzer房间隔封堵器（ASO）（美国明尼苏达州黄金谷AGA医疗公司）的经导管ASD装置封堵术。术后两周，患者因心房顶部侵蚀出现危及生命的急性心包积液。超声心动图和心脏CT扫描确诊了该诊断。进行了装置的手术取出、心房撕裂修补以及ASD封堵。尽管罕见，但心脏侵蚀是经导管ASD装置封堵术后一种严重且危及生命的并发症，不应被低估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab1d/12037193/3aaddffe6b5b/cureus-0017-00000081411-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab1d/12037193/b134531c37d1/cureus-0017-00000081411-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab1d/12037193/49a59c372af7/cureus-0017-00000081411-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab1d/12037193/3aaddffe6b5b/cureus-0017-00000081411-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab1d/12037193/b134531c37d1/cureus-0017-00000081411-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab1d/12037193/49a59c372af7/cureus-0017-00000081411-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab1d/12037193/3aaddffe6b5b/cureus-0017-00000081411-i03.jpg

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本文引用的文献

1
Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an Atriasept occluder: a case report.经 Atriasept 封堵器闭合房间隔缺损后出现心房壁和主动脉窦穿孔：一例报告。
J Cardiothorac Surg. 2021 Mar 25;16(1):53. doi: 10.1186/s13019-021-01441-x.
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Atrial Septal Defect.房间隔缺损。
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Transcatheter Versus Surgical Closure of Atrial Septal Defects in Children: A Value Comparison.经导管与手术关闭儿童房间隔缺损：价值比较。
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Transcatheter versus surgical closure of atrial septum defect: a debate from a developing country.经导管封堵与外科手术封堵房间隔缺损：来自一个发展中国家的争论
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Erosions, erosions, and erosions! Device closure of atrial septal defects: how safe is safe?侵蚀，侵蚀，还是侵蚀！房间隔缺损的器械封堵术：多安全才算安全？
Catheter Cardiovasc Interv. 2012 Aug 1;80(2):168-74. doi: 10.1002/ccd.24517.
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Percutaneous atrial septal occluder devices and cardiac erosion: a review of the literature.经皮房间隔封堵器装置与心脏侵蚀：文献复习。
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Perforation of the right atrium and the ascending aorta following percutaneous transcatheter atrial septal defect closure.
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Early cardiac perforation after atrial septal defect closure with the Amplatzer septal occluder.使用Amplatzer房间隔封堵器闭合房间隔缺损后早期心脏穿孔
Ann Thorac Surg. 2006 Jun;81(6):2312-3. doi: 10.1016/j.athoracsur.2005.08.008.
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Cardiac perforation after device closure of atrial septal defects with the Amplatzer septal occluder.使用Amplatzer房间隔封堵器进行房间隔缺损封堵术后的心脏穿孔。
J Am Coll Cardiol. 2005 Apr 19;45(8):1213-8. doi: 10.1016/j.jacc.2004.12.072.
10
Late perforation of the aortic root by an atrial septal defect occlusion device.
Ann Thorac Surg. 2005 Mar;79(3):e28. doi: 10.1016/j.athoracsur.2004.04.077.