Cardiac erosion after catheter closure of atrial septal defect: Septal malalignment may be a novel risk factor for erosion.
Cardiac erosion after catheter closure of atrial septal defect: Septal malalignment may be a novel risk factor for erosion.
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房间隔缺损导管闭合后的心脏糜烂：间隔排列不齐可能是糜烂的新危险因素。
DOI：
10.1016/j.jccase.2013.12.004
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发表时间：
2014
影响因子：
--
通讯作者：
Hiroshi Ito
中科院分区：
文献类型：
--
作者：
Y. Kijima;T. Akagi;Koji Nakagawa;Worakan Promphan;N. Toh;Kazufumi Nakamura;S. Sano;Hiroshi Ito
心包填塞发生在房间隔缺损(ASD)经导管封堵后3天(美国明尼苏达州圣犹大医学)。封堵术前，二维和实时三维经食道超声心动图显示主动脉缘缺失和房间隔排列不齐。在急诊手术中证实右心房穿孔至主动脉根部的非冠状静脉窦。心脏侵蚀是封堵器封堵ASD患者最严重的并发症之一。因此，这种并发症的几个危险因素被讨论和识别。过大的设备部署和主动脉边缘缺陷是公认的可能导致心脏侵蚀的因素。此外，房间隔错位是房间隔缺损的一个形态特征，可能是导致心脏侵蚀的一个新的危险因素。学习目的：当使用Amplatzer间隔封堵器(St.Jude Medical，St.Paul，MN，USA)封堵房间隔缺损时，心脏侵蚀是一种潜在的致命性并发症。然而，这一并发症的机制仍未完全阐明。房间隔排列不良可能是这一灾难性并发症的新危险因素之一。
Pericardial tamponade occurred 3 days after the catheter closure of an atrial septal defect (ASD) using Amplatzer Septal Occluder (St. Jude Medical, St. Paul, MN, USA). Before the closure, two-dimensional and real-time three-dimensional transesophageal echocardiography demonstrated a deficient aortic rim and atrial septal malalignment. Perforation of the right atrium toward the non-coronary sinus of the aortic root was confirmed at the emergent surgery. Cardiac erosion is one of the most catastrophic complications in ASD patients undergoing catheter closure with Amplatzer Septal Occluder. Hence, several risk factors for this complication are discussed and identified. Oversized device deployment and a deficient aortic rim are accepted factors potentially causing cardiac erosion. Besides, atrial septal malalignment, which is a morphological characteristic of ASD, may be a novel risk factor for cardiac erosion.<Learning objective: Cardiac erosion is a potentially lethal complication when catheter closure of atrial septal defects using Amplatzer Septal Occluder (St. Jude Medical, St. Paul, MN, USA) is provided to the patients. However, mechanisms of this complication remain to be completely elucidated. Atrial septal malalignment may be one of the novel risk factors for this catastrophic complication.>