Late perforation of right atrium and aortic root after percutaneous closure of patent foramen ovale.

Late perforation of right atrium and aortic root after percutaneous closure of patent foramen ovale.
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经皮卵圆孔未闭封堵术后晚期右心房和主动脉根部穿孔。

DOI:
10.1016/j.jtcvs.2007.06.021
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发表时间:
2007
期刊:
The Journal of thoracic and cardiovascular surgery
影响因子:
--
通讯作者:
C. Vosa
C. Vosa
中科院分区:
--
文献类型:
--
作者:
G. Palma;F. Rosapepe;M. Vicchio;V. Russolillo;S. Cioffi;C. Vosa

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讨论自1976年以来,经皮经导管封堵ASD或PFO已被用作各种类型机械封堵器的传统手术修复的替代方案。[3] Amplatzer房间隔封堵器是此类器械的一个模型,于2001年12月获得美国食品和药物管理局的批准。据报告,成功闭合率良好。然而,已经描述了需要紧急外科手术的晚期并发症病例。4我们的病人有重要的解剖损伤。在手术修复时,他的血流动力学状况稳定,这是一个幸运的情况。自1954年以来,经典的心内直视手术仍然是ASD修复术的标准治疗,具有良好的结局,
DiscussionPercutaneous transcatheter closure of ASD or PFO has been performed since 1976 as an alternative to conventional surgical repair with various types of mechanical occluder devices. 3 The Amplatzer septal occluder is a model of such devices and was approved by the Food and Drug Administration in December 2001. A good rate of successful closure has been reported. Nevertheless, cases of late complications necessitating emergency surgical procedures have been described. 4 Our patient had important anatomic injuries. His hemodynamically stabile condition at the time of surgical repair was a fortunate situation. Classic open heart surgery remains the standard of care for ASD repair with excellent outcomes since 1954, providing low operative