房间隔瘤并发继发孔型房间隔缺损介入封堵术的临床评价  

Clinical evaluation of transcatheter closure of atrial septal aneurysm associated with secoundum atrial septal defect

作　　者：陈宇明[1] 黄凯[1] 伍伟锋[1] 郭盛兰[1] 吴棘[1] 张炳东[1] 

机构地区：[1]广西医科大学第一附属医院心内科,南宁530021

出　　处：《临床心血管病杂志》2009年第12期926-928,共3页Journal of Clinical Cardiology

基　　金：广西科技攻关项目(桂科攻:0472002-30)

摘　　要：目的:评价房间隔瘤(ASA)并发继发孔型房间隔缺损(ASD)介入封堵术的可行性、安全性和疗效。方法:16例(男4例,女12例),年龄12～66(30.6±14.1)岁。经临床、心电图、X线及经胸超声心动图(TTE)检查诊断为ASA并发继发孔型ASD。TTE检查ASA均膨入右心房,ASD最大直径10～32(17.1±10.4)mm。其中单孔ASD14例,双孔ASD2例,孔间距离均小于7mm。结果:16例均一次封堵成功,成功率100%。所用封堵器的直径为16～42(28.5±6.99)mm。2例双孔ASD中,置入1个封堵器直接封堵2个缺损孔。术中TTE监测检查示15例完全闭合,1例有少量残余分流。术后3d复查TTE示均无残余分流;6个月、1年后复查示9例心脏大小恢复正常,均无残余分流,无封堵器移位及其他并发症。结论:介入封堵治疗ASA并发继发孔型ASD是可行、安全的,可获得良好的封堵效果。Objective： To evaluate the efficacy and safety of transaetheter closure of atrial septal aneurysm （ASA） accompanied by seeoundum atrial septal defect （ASD）. Method： Sixteen ASA cases were involved, including 4 men and 12 women aged from 12--66 years old （30.6±14.1）. All eases were diagnosed by physical exami nation, ECG, X ray and TTE. ASA were convex toward the right atrial （RA） in all cases, with ASD diameter ranged from 10 to 32 （17.1±10.4） ram. Fourteen cases were single hole ASD and 2 patients with multiple hole ASD. Result：Transcatheter closure was successfully performed in all eases, with the size of implanting occluders ranged from 16 to 42 （28.5±6.99） ram, including 2 cases with multiple ASD. No residual shunt was detected im mediately by TTE after the procedure in 15 cases. There were no residual shunt or occluder shifting detected at day 3, 6 and 12 month post transcatheter clousure, the dimensions of the heart became normal in 9 patients at 6 or 12 months post operation. Conclusion：Transcatheter closure is practicable and safe in patients with ASA aceompa nied by ASD.

关 键 词：房间隔瘤 房间隔缺损 介入治疗 封堵器 

分 类 号：R542.1[医药卫生—心血管疾病]