王鉴,陈笋,孙锟,武育蓉,谢静,杨健萍

• 1:上海交通大学医学院附属新华医院小儿心血管科

摘要(Abstract)：

目的介绍使用多孔筛状房间隔封堵器(amplatzer cribriform occluder,ACO)封堵多孔型房间隔缺损(multi-fenestrated ASD,mf ASD)的经验,并评估其可行性、有效性及安全性。方法回顾2013年8月至2014年5月上海交通大学医学院附属新华医院使用ACO经导管介入封堵mf ASD的5例患儿,并介绍手术及术后随访结果。结果 3例mf ASD(Ⅱ)患儿2处缺损距离分别为5 mm、7.4 mm和3.8 mm,选择25 mm ACO进行封堵。1例ASD(Ⅱ)4.5 mm、2.0 mm(位置略偏前),选择18 mm ACO。1例房间隔瘤形成,瘤底8.5 mm,瘤高12.2 mm,ASD 2处,一处位于中央8 mm×8 mm,另一处位于房间隔瘤下方,大小为2.5 mm,两处缺损相距5.2 mm,选择25 mm ACO。术中及术后超声心动图均显示无残余分流,术后第2天及1、3个月心电图检查结果均正常。短期随访结果令人满意,尚未见并发症发生。结论 ACO应用于封堵mf ASD操作简便,并发症少,封堵效率较高,是患儿mf ASD封堵的选择之一。

关键词(KeyWords)： 多孔筛状房间隔封堵器;多孔型房间隔缺损;房间隔瘤

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金项目(30772349,81070134);; 上海市卫生局系统主要疾病联合攻关项目(2013ZYJB0016);; 上海市科学技术委员会产学研医合作项目(12JC1406600)

作者(Author): 王鉴,陈笋,孙锟,武育蓉,谢静,杨健萍

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