单纯经食管超声心动图引导经皮封堵房间隔缺损合并永存左上腔静脉1例  

Transesophageal echocardiography-guided percutaneous transcatheter closure of atrial septal defect with permanent left superior vena cava:a case report

作　　者：谢绍峰 卢平 钟晓娇 秦永文 罗骏[1] XIE Shao-feng;LU Ping;ZHONG Xiao-jiao;QIN Yong-wen;LUO Jun(Department of Cardiology,Ganzhou People’s Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院心血管内科,江西赣州341000 [2]中国人民解放军海军军医大学附属长海医院心血管内科

出　　处：《中国介入心脏病学杂志》2023年第4期310-312,共3页Chinese Journal of Interventional Cardiology

摘　　要：单纯超声心动图引导经皮封堵房间隔缺损(ASD)技术成熟,解剖上要求ASD边缘距离冠状静脉窦、上下腔静脉及肺静脉开口≥5 mm,经食管超声心动图较经胸超声心动图能更准确评估缺口大小、残存边缘及解剖特点。本例患儿单纯使用经食管超声心动图引导经皮封堵ASD合并永存左上腔静脉且距离冠状静脉窦口残端缺乏成功,为此类患者的治疗提供新的思路和策略。The technology of transesophageal echocardiography-guided percutaneous transcatheter closure for atrial septal defect(ASD)with permanent left superior vena cava was mature.Anatomically,the distance from the edge of ASD to the opening of coronary sinus,superior and inferior vena cava,and pulmonary vein should be≥5 mm.Besides,transesophageal echocardiography is more accurate than transthoracic echocardiography in assessing notch size,residual margins,and anatomical characteristics.Percutaneous transcatheter closure under the guidance of transesophageal echocardiography only succeeded in treating ASD with persistent left superior vena cava and stump defi ciency from coronary sinus,which provided a new idea and strategy for the patients.

关 键 词：房间隔缺损 永存左上腔静脉 经食管超声心动图 残端缺乏 介入封堵 

分 类 号：R541[医药卫生—心血管疾病]