介入封堵治疗外伤性室间隔穿孔2例报告

Percutaneous closure of traumatic ventricular septal defect:two cases report

目的总结2例外伤性室间隔穿孔介入封堵治疗的方法,探讨其临床价值。方法对2例外伤性室间隔穿孔患者的临床资料进行回顾性分析。结果2例外伤性室间隔穿孔病人均成功应用PDA封堵器进行介入封堵治疗,即刻彩超探查分流消失,造影显示室间隔穿孔与封堵器贴合完美,封堵器位置良好。术后均痊愈出院;随访6个月、2年,心功能正常,生活质量良好。结论不合并瓣膜损伤的外伤性室间隔穿孔病人可选择介入封堵治疗,创伤小,疗效好。

Objective To present our experience in percutaneous closure of posttraumatic ventricular septal defect （VSD） in two patients. Methods The clinical datum of 2 posttraumatic VSD patients were analyzed retrospectively. Results A eonsiderable and complete closure were achieved in both patients. Left ventrieulography revealed no residual leftto-right shunt. An echocardiogram performed 3 months to 2 years later showed the devices in place, with no left-to-right shunt, no ventrieular dilatation and no pulmonary hypertension. Conclusion Percutaneous closure could be a good treatment for posttraumatie VSD without valve injury with less trauma and better effectiveness.