摘要
目的提高对真性膜部瘤型室间隔缺损(VSD)的认识,总结经导管封堵治疗失败的教训。方法回顾1例真性膜部瘤型VSD患儿经导管封堵失败病例的术中和术后资料,结合文献资料进行分析。结果术前检查无经导管封堵治疗手术禁忌证,术中共更换3枚不同直径国产膜部VSD封堵器进行4次封堵均未成功,术后结合外科手术所见,回顾造影图像诊断为真性膜部瘤Ⅱ型VSD。结论真性膜部瘤型VSD瘤壁比较薄弱,进行封堵治疗时破口可以增大。充分认识真性膜部瘤型VSD,提高术前彩色多普勒超声的诊断水平,有助于预估手术风险,减少手术严重并发症。
Objective To make a further understanding of ventricular septal defect（VSD） with membranous septum aneurysm,and to summarize the experience in performing transcatheter occlusion of VSD in vain.Methods The clinical data of transcatheter occlusion treatment for ventricular membranous septum aneurysm in one pediatric patient were retrospectively analyzed,and the related literatures were reviewed.Results Preoperative examination showed that this pediatric patient had no contraindications to transcatheter occlusion procedure.During the operation,three domestic VSD occluders with different diameters were used one after another to obstruct the VSD.The performance of occlusion procedure was tried for four times,but all were in vain.Through combination analysis of surgical results with the angiographic findings,the VSD lesion was finally proved to be the aneurysm of the membranous ventricular septum（AMS） type Ⅱ.Conclusion The aneurysmal sac of AMS is rather frail,therefore,the defect may be expanded by the transcatheter occlusion procedure.A full understanding of ventricular septal defect with membranous septum aneurysm and the improvement of the diagnostic accuracy of preoperative color Doppler echocardiography will be helpful in predicting the risk of surgery as well as in reducing the incidence of serious postoperative complications.
出处
《介入放射学杂志》
CSCD
北大核心
2013年第8期679-682,共4页
Journal of Interventional Radiology
关键词
室间隔缺损
室间隔膜部瘤
治疗
ventricular septal defect
membranous ventricular septum aneurysm
therapy
作者简介
通信作者：杨敏
