Closure of small fenestrations without optimal rims with a PDA coil far from primary atrial septal defects: a new approach.

IF 0.9 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiology in the Young Pub Date : 2024-10-08 DOI:10.1017/S1047951124026027
Sylvia K Sánchez González, José L Colín Ortiz, Alejandro Flores Arizmendi, Alfredo Bobadilla Aguirre, Carlos A Corona Villalobos
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Abstract

An ostium secundum atrial septal defect (ASD) is a CHD that can be treated percutaneously since 1974, mostly cases with only one main defect. In cases with fenestrations close to the main defect, a single occluder can be used for treatment because the discs extend beyond the waist of the device. In some cases where the defects are far from each other, they may require either more than one device or surgical closure. We present two patients in whom we observed fenestrations far from the primary defect. Initially, the main ASDs were closed with an ASD occluder, and then the fenestrations were closed with a patent ductus arteriosus (PDA) coil, resulting in complete closure of both defects. This shows that closing small fenestrations that are far away from the primary interatrial defect without rims and using other devices instead, such as a PDA coil, is feasible and can avoid the need for an open-heart surgical procedure; moreover, it is important to note that leaving these fenestrations open can have the same physiology as a patent foramen oval.

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用远离原发性房间隔缺损的 PDA 线圈闭合无最佳边缘的小裂孔:一种新方法。
房间隔缺损(ASD)是一种自 1974 年起就可以经皮治疗的心脏畸形,大多数情况下只有一个主缺损。在瓣膜靠近主缺损的病例中,可以使用单个闭塞器进行治疗,因为瓣膜会延伸到闭塞器的腰部以外。在某些情况下,如果缺损彼此相距较远,则可能需要多个装置或手术闭合。在本报告中,我们观察到两名患者的椎间孔与主缺损相距甚远。起初,我们用 ASD 闭塞器闭合了主 ASD,然后用动脉导管未闭(PDA)线圈闭合了瘘管,结果两个缺损都完全闭合。这表明,使用其他装置(如 PDA 线圈)关闭远离原发心房间缺损的小裂孔是可行的,而且可以避免开胸手术;此外,值得注意的是,让这些裂孔处于开放状态可以产生与卵圆孔通畅相同的生理效应。
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来源期刊
Cardiology in the Young
Cardiology in the Young 医学-小儿科
CiteScore
1.70
自引率
10.00%
发文量
715
审稿时长
4-8 weeks
期刊介绍: Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.
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