房间隔封堵器移位在一个难以置信的地方被发现:1例报告

M. J. Fesharaki, A. Alizadehasl, Z. Khajali, Melodi Farashi
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引用次数: 0

摘要

继发性房间隔缺损(ASD)是最常见的房间隔缺损类型。在大多数情况下,经导管闭合术已经取代了传统的手术闭合术。器械栓塞相对不常见(0.3%),但它可能是危及生命的情况,需要紧急心脏直视手术。我们报告了一名44岁的女性,她成功地关闭了ASD装置,但在手术后的第二天,她出现了呼吸困难和频繁的阵发性室上性心动过速,房间隔(IAS)位置没有装置。经食管进一步检查发现右肺动脉房间隔闭塞,手术成功取出。
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Dislodged Interatrial Septum Occluder was Found in an Incredible Place: A Case Report
Secundum type atrial septal defect (ASD) is the most common type of interatrial septum defects. Transcatheter closure of secundum ASD has replaced traditional surgical ASD closure in most cases. Embolization of device is relatively uncommon (0.3%), but it can be a life-threatening situation that needs emergency open heart surgery. We presented a 44-year-old woman who underwent a successful ASD device closure, but the day after procedure, she presented with dyspnea and frequent paroxysmal supraventricular tachycardia with absence of device in interatrial septum (IAS) position. Further investigation by transesophageal revealed atrial septal occluder in the right pulmonary artery that extracted by surgery successfully.
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