Gildein H P, Mocellin R
Universitäts-Kinderklinik Abteilung Pädiatrische Kardiologie, Freiburg.
Z Kardiol. 1998 Jan;87(1):38-40. doi: 10.1007/s003920050153.
Interventional duct occlusion with the Rashkind PDA occluder has become a widespread alternative treatment to surgery. Whereas residual shunting is well-known, reopening of a completely occluded duct has been published in only 3 cases. We report another case of a young adult in whom ductal shunting reappeared after he had restarted physical exercise and sports activities soon after the occlusion procedure. Recanalization might have been due to changing of the device position without embolisation. A second Rashkind PDA occluder was successfully implanted 6 months after the first procedure with complete closure of the residual shunt.
使用拉什金德动脉导管未闭封堵器进行介入性导管封堵已成为一种广泛应用的手术替代治疗方法。虽然残余分流是众所周知的，但完全闭塞导管重新开放的情况仅在3例中有所报道。我们报告了另一例年轻成人病例，该患者在封堵手术后不久重新开始体育锻炼和运动活动后，导管分流再次出现。再通可能是由于装置位置改变而未发生栓塞。在首次手术后6个月成功植入了第二个拉什金德动脉导管未闭封堵器，残余分流完全闭合。
