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[MEP - 03] 封堵器导致的心内膜侵蚀修复:一种具有挑战性的情况。

[MEP-03] Repair of the Cardiac Erosion Because of the Occluder Device, A Challenging Situation.

作者信息

Demirtas Huseyin, Ozer Abdullah, Gulcan Mehmet Burak, Shide Issa, Durkan Yonca, Oktar Gürsel Levent, Tacoy Gülten

机构信息

Department of Cardiovascular Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye.

Department of Cardiovascular Surgery, Erzurum City Hospital, Erzurum, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2024 Dec 31;32(4 Suppl 2):099-100. doi: 10.5606/tgkdc.dergisi.2024.mep-03. eCollection 2024 Nov.

DOI:10.5606/tgkdc.dergisi.2024.mep-03
PMID:40322174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12045209/
Abstract

Atrial septal defect is the most common congenital heart disease in adults. Atrial septal occluder devices are popular for treating secundum atrial septal defects. However, it has risks of complications such as cardiac tissue erosion, thrombus, and effusion. A 63-year-old female patient with atrial septal erosion who underwent intervention for secundum atrial septal defect three years ago presented to the clinic. We removed the occluder device and successfully repaired the atrial septum with bovine. While intravascular techniques have been developed for the closure of atrial septal defects, surgery remains important in treatment. Furthermore, occluder devices have important risks. This case demonstrates a successful repair after cardiac tissue erosion due to the occluder device.

摘要

房间隔缺损是成人最常见的先天性心脏病。房间隔封堵器常用于治疗继发孔型房间隔缺损。然而,它存在心脏组织侵蚀、血栓形成和积液等并发症风险。一名63岁女性患者,三年前因继发孔型房间隔缺损接受介入治疗后出现房间隔侵蚀,前来就诊。我们取出了封堵器,并成功使用牛心包修复了房间隔。虽然已经开发出血管内技术用于闭合房间隔缺损,但手术在治疗中仍然很重要。此外,封堵器存在重大风险。本病例展示了封堵器导致心脏组织侵蚀后成功修复的过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/329b/12045209/ac8d78d49522/TJTCS-2024-11-100-099-100-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/329b/12045209/815efca5efe1/TJTCS-2024-11-100-099-100-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/329b/12045209/540bcdb631d0/TJTCS-2024-11-100-099-100-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/329b/12045209/ac8d78d49522/TJTCS-2024-11-100-099-100-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/329b/12045209/815efca5efe1/TJTCS-2024-11-100-099-100-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/329b/12045209/540bcdb631d0/TJTCS-2024-11-100-099-100-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/329b/12045209/ac8d78d49522/TJTCS-2024-11-100-099-100-F3.jpg

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本文引用的文献

1
Atrial septal defect in adulthood: a new paradigm for congenital heart disease.成人房间隔缺损:先天性心脏病的新范例。
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Contributors to and impact of residual shunting after device closure of atrial septal defects.房间隔缺损封堵术后残余分流的影响因素及影响
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5
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。
Catheter Cardiovasc Interv. 2012 Aug 1;80(2):157-67. doi: 10.1002/ccd.24347. Epub 2012 May 2.