{"title":"在经室间隔穿刺过程中对升主动脉穿孔的闭合:用肌性室间隔缺损封堵器经导管闭合。","authors":"Yanbin Song, Dawei Lin, Xiaochun Zhang, Daxin Zhou","doi":"10.1186/s12872-024-04352-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Ascending aortic perforation is a rare complication of the transseptal puncture procedure that often requires emergency management.</p><p><strong>Case presentation: </strong>We report the case of a 53-year-old woman with severe mitral stenosis (MS) who underwent percutaneous balloon mitral valvuloplasty (PBMV). After the transseptal puncture procedure, a right atrium-iatrogenic ascending aortic perforation was observed. An 8-mm muscular ventricular septal defect (VSD) occluder was then successfully used for emergency closure.</p><p><strong>Conclusion: </strong>Percutaneous closure of ascending aortic perforations via a muscular VSD occluder is a feasible treatment approach.</p>","PeriodicalId":9195,"journal":{"name":"BMC Cardiovascular Disorders","volume":"25 1","pages":"97"},"PeriodicalIF":2.3000,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823186/pdf/","citationCount":"0","resultStr":"{\"title\":\"Closure of an ascending aorta perforation during a transseptal puncture procedure: transcatheter closure with a muscular ventricular septal defect occluder.\",\"authors\":\"Yanbin Song, Dawei Lin, Xiaochun Zhang, Daxin Zhou\",\"doi\":\"10.1186/s12872-024-04352-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Ascending aortic perforation is a rare complication of the transseptal puncture procedure that often requires emergency management.</p><p><strong>Case presentation: </strong>We report the case of a 53-year-old woman with severe mitral stenosis (MS) who underwent percutaneous balloon mitral valvuloplasty (PBMV). After the transseptal puncture procedure, a right atrium-iatrogenic ascending aortic perforation was observed. An 8-mm muscular ventricular septal defect (VSD) occluder was then successfully used for emergency closure.</p><p><strong>Conclusion: </strong>Percutaneous closure of ascending aortic perforations via a muscular VSD occluder is a feasible treatment approach.</p>\",\"PeriodicalId\":9195,\"journal\":{\"name\":\"BMC Cardiovascular Disorders\",\"volume\":\"25 1\",\"pages\":\"97\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-02-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823186/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Cardiovascular Disorders\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12872-024-04352-6\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Cardiovascular Disorders","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12872-024-04352-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Closure of an ascending aorta perforation during a transseptal puncture procedure: transcatheter closure with a muscular ventricular septal defect occluder.
Background: Ascending aortic perforation is a rare complication of the transseptal puncture procedure that often requires emergency management.
Case presentation: We report the case of a 53-year-old woman with severe mitral stenosis (MS) who underwent percutaneous balloon mitral valvuloplasty (PBMV). After the transseptal puncture procedure, a right atrium-iatrogenic ascending aortic perforation was observed. An 8-mm muscular ventricular septal defect (VSD) occluder was then successfully used for emergency closure.
Conclusion: Percutaneous closure of ascending aortic perforations via a muscular VSD occluder is a feasible treatment approach.
期刊介绍:
BMC Cardiovascular Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the heart and circulatory system, as well as related molecular and cell biology, genetics, pathophysiology, epidemiology, and controlled trials.