复杂多分叶左心耳封堵术1例报告  

A case report of complex multi-lobed left atrial appendage closure

作　　者：陈道乾 纪军[1] 徐冰[1] 方震 何胜虎[1] CHEN Daoqian;JI Jun;XU Bing;FANG Zhen;HE Shenghu(Department of Cardiology,Subei People′s Hospital of Jiangsu Province,Yangzhou,Jiangsu,225009)

机构地区：[1]江苏省苏北人民医院心内科,江苏扬州225009

出　　处：《实用临床医药杂志》2023年第23期91-94,共4页Journal of Clinical Medicine in Practice

基　　金：2018年度省级学科(专科)带头人A类(hxkt2019_23)。

摘　　要：心房颤动(AF)是常见的心律失常,与生活质量、心功能和存活率降低有关。目前,AF的治疗多注重改善症状,降低并发症发生率和患者病死率,以及减少AF相关的急诊室就诊或住院。经皮左心耳封堵术(LAAC)可降低非瓣膜性心房颤动(NVAF)患者的卒中风险,是口服抗凝治疗的有效替代方法。本研究报告了1例持续性AF合并冠心病患者成功行LAAC的治疗过程,其术前经食道超声心电图(TEE)提示左心耳复杂多分叶型,选用小伞大盖型LAmbre封堵器进行治疗。Atrial fibrillation(AF)is one of common arrhythmia,which is associated with lower quality of life,decreased heart function,and reduced survival rate.Currently,the treatment of AF focuses on improving symptoms,reducing the incidence of complications and mortality,as well as decreasing emergency department visit or hospitalization related to AF.Percutaneous left atrial appendage closure(LAAC)can reduce the risk of stroke in non-valvular atrial fibrillation(NVAF)patients,and is an effective alternative to oral anticoagulant therapy.This study reported the successful therapeutic process of LAAC in a patient with persistent AF and coexisting coronary heart disease,and the preoperative transesophageal echocardiography(TEE)showed a complex multi-lobed left atrial appendage,so the LAmbre occluder with small umbrella and large cover design was selected for treatment.

关 键 词：心房颤动 左心耳封堵术 LAmbre封堵器 多分叶左心耳 抗凝治疗 

分 类 号：R541.7[医药卫生—心血管疾病] R654[医药卫生—内科学] R540.4[医药卫生—临床医学]