经皮封堵治疗先天性心脏病术后新发左心室假性室壁瘤1例Percutaneous occlusion for left ventricular pseudoaneurysm after surgical repair of congenital heart disease:a case report
刘桂栋,杜朝峻,李红昕
摘要(Abstract):
假性室壁瘤是一种罕见但可能致命的疾病,通常继发于心肌梗死、心脏手术、创伤和感染,在先天性心脏病术后发病率极低。传统手术治疗方法,多以外科手术切除假性室壁瘤并修补基底来治疗,手术创伤大、风险高。本病例报道1例6个月10 d诊断为左心室假性室壁瘤,先天性心脏病术后的患儿。患儿于7周接受室间隔缺损修补、房间隔缺损修补、肺动脉瓣闭式扩张术。术后3个月体检发现左心室假性室壁瘤;术后4个月,在经胸超声心动图引导下,采用经股动脉路径成功经皮封堵假性室壁瘤。术后复查证实封堵器位置良好,患儿恢复良好。该病例证明了超声引导下经皮封堵治疗儿童新发左心室假性室壁瘤的有效性和低创伤性。
关键词(KeyWords): 经皮封堵治疗;左心室假性室壁瘤;先天性心脏病;术后并发症
基金项目(Foundation):
作者(Author): 刘桂栋,杜朝峻,李红昕
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