动脉导管未闭封堵术后封堵器迟发脱落一例
被引量:1
摘要
1临床资料 患儿女,2岁。因“心脏杂音2年”入院。体检:胸骨左缘第2肋间可闻及3/6级连续性机器样杂音。心脏超声显示:降主动脉与左肺动脉间可见管型动脉导管开放,主动脉侧内径8.2mm,肺动脉侧内径8.0mm,导管长13.9mm;肺动脉收缩压48mmHg(1mmHg=0.133kPa)。诊断:动脉导管未闭(PDA);中度肺动脉高压。入院后行PDA封堵术。造影显示PDA呈管型,最窄处内径约为7.0mm(图1)。先置入12/14mmPDA封堵器(北京华医圣杰有限公司提供),因封堵器左盘上缘突出至主动脉管腔造成狭窄而换用10/12mm封堵器。透视显示封堵器“腰征”明显,听诊杂音消失,超声及造影检查显示封堵器固定良好,对主动脉、肺动脉无影响(图2),
出处
《中国循环杂志》
CSCD
北大核心
2007年第6期454-454,共1页
Chinese Circulation Journal
同被引文献11
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