应用ADOⅡ封堵器经皮介入治疗低位卵圆孔未闭1例  

Percutaneous closure of patent foramen ovale in a low-level position using Amplatzer ADOⅡ occluder:a case report

作　　者：胡海波[1] 黄浩佳 栗政伟 吕建华[1] 潘湘斌[1] HU Hai-bo;HUANG Hao-jia;LI Zheng-wei;LU Jian-hua;PAN Xiangbin(Center of Structural Heart Disease,National Center for Cardiovascular Diseases,Fuwai Hospitial,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China)

机构地区：[1]国家心血管病中心、北京协和医学院、中国医学科学院阜外医院结构性心脏病中心,北京100037

出　　处：《中国介入心脏病学杂志》2024年第6期346-348,共3页Chinese Journal of Interventional Cardiology

基　　金：中央高水平医院临床科研业务费项目(2022-GSP-GG-18)。

摘　　要：低位卵圆孔未闭(PFO)是指PFO封堵术中PFO开口位置偏低,其左心房面开口距离二尖瓣房间隔侧根部距离小于9 mm的一种少见类型PFO。对于低位PFO目前临床上常用的双盘式PFO封堵器其最小型号(18 mm/18 mm)放置后封堵器边缘也会触碰到二尖瓣,导致二尖瓣反流或瓣叶磨蚀风险增加,一般术中遇到此情况只能放弃封堵。本病例报道采用Amplatzer ADOⅡ封堵器介入封堵低位PFO的成功病例,为这种少见类型PFO的介入封堵提供了新的思路和策略。Low-level patent foramen ovale nonocclusion(PFO)is a rare type of PFO in which the PFO opening is low during transcatheter closure of PFO and the distance between the PFO left atrial opening and the root of the septal side of the mitral valve is less than 9 mm,and the smallest model of the current doubledisk PFO occluder(18/18)commonly used in clinical practice for low-level PFOs can touch the mitral valve,resulting in increased risk of mitral regurgitation or leaflet abrasion.The risk of mitral regurgitation or leaflet abrasion is increased,and transcatheter closure of PFO procedure can only be abandoned when encountered intraoperatively.In this article,we present a case of successful transcatheter closure of a low-level PFO using the Amplatzer ADOⅡ occluder,which provides new ideas and strategies to deel wtih this rare type of PFO.

关 键 词：卵圆孔未闭 二尖瓣反流 介入封堵 

分 类 号：R541[医药卫生—心血管疾病]