Minimally Invasive Correction of Failed Percutaneous Atrial Septal Closure with Device Embolization.

IF 0.3 Q4 SURGERY Thoracic and Cardiovascular Surgeon Reports Pub Date : 2024-03-15 eCollection Date: 2024-01-01 DOI:10.1055/a-2276-9898
Vlander Costa, Tulio Caldonazo, Paola Montanhesi, Johannes Fischer, Murat Mukharyamov, Hristo Kirov, Torsten Doenst
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Abstract

We present the case of a minimally invasive surgical correction for failed percutaneous atrial septal defect (ASD) closure in a 57-year-old female patient with residual ASD, tricuspid regurgitation, atrial fibrillation, and embolization of one of two occluders to the superior mesenteric artery. Our surgical approach consisted of anterolateral minithoracotomy, aortic and femoral vein cannulation, cryoablation, cardiac device removal, closure of ASD with autologous pericardium, and tricuspid repair. The procedure was uneventful and patient was discharged home on postoperative day 4.

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通过设备栓塞微创矫正失败的经皮心房隔膜封堵术
我们介绍了一例经皮房间隔缺损(ASD)关闭术失败的微创手术矫正病例,患者是一名 57 岁的女性,伴有 ASD 残留、三尖瓣反流、心房颤动以及肠系膜上动脉两个闭塞器中的一个被栓塞。我们的手术方法包括前外侧小胸廓切开术、主动脉和股静脉插管、低温消融、心脏装置移除、用自体心包封闭 ASD 以及三尖瓣修复。手术过程顺利,患者在术后第 4 天出院回家。
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