全腔镜一站式心房颤动射频消融及经胸封堵治疗房间隔缺损伴心房颤动一例  

Atrial septal defect with atrial fibrillation treated by one-stop radiofrequency ablation and transthoracic closure under total endoscopy:A case report

作　　者：贾杰 钱永军[2] JIA Jie;QIAN Yongjun(Department of Cardiothoracic and Vascular Surgery,Mianyang Third People's Hospital,Sichuan Mental Health Center,Mianyang,621000,Sichuan,P.R.China;Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川省精神卫生中心、绵阳市第三人民医院胸心大血管外科,四川绵阳621000 [2]四川大学华西医院心脏大血管外科,成都610041

出　　处：《中国胸心血管外科临床杂志》2023年第5期784-786,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：四川省干部保健科研课题(川干研2023-116);四川省卫生健康委员会医学科技项目(21PJ035)。

摘　　要：房间隔缺损(atrial septal defect,ASD)的手术治疗方式主要有封堵或体外循环下修补。心房颤动(房颤)的手术治疗方式有经导管射频消融或体外循环下“迷宫”手术。针对ASD伴房颤患者的治疗手段众多,但各有利弊。我们报道1例ASD合并房颤患者行全腔镜心脏不停跳一站式房颤射频消融同期经胸ASD封堵术,术后效果较好。Surgical treatment of atrial septal defect(ASD)mainly includes occlusion or repair under cardiopulmonary bypass.Surgical treatment of atrial fibrillation includes transcatheter radiofrequency ablation or Maze surgery under cardiopulmonary bypass.There are many treatments for ASD patients combined with atrial fibrillation,but each has its own advantages and disadvantages.We reported an ASD patient combined with atrial fibrillation treated by totally endoscopic"one-stop"radiofrequency ablation and simultaneous transthoracic ASD occlusion of atrial fibrillation,with good postoperative results.

关 键 词：心房颤动 房间隔缺损 胸腔镜 射频消融 左心耳夹闭 病例报告 

分 类 号：R654.2[医药卫生—外科学]