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Surgical removal of part of an occluder to treat iatrogenic coarctation of the aorta: a case report.
BMC Surgery ( IF 1.9 ) Pub Date : 2020-01-17 , DOI: 10.1186/s12893-020-0682-6 Zhongwei Sun 1 , Dongxu Li 1 , Yabo Wang 1 , Qi An 1
BMC Surgery ( IF 1.9 ) Pub Date : 2020-01-17 , DOI: 10.1186/s12893-020-0682-6 Zhongwei Sun 1 , Dongxu Li 1 , Yabo Wang 1 , Qi An 1
Affiliation
BACKGROUND
Iatrogenic aortic stenosis is a serious complication and potentially fatal due to erosion of the aortic wall. Timely management is necessary to prevent complications.
CASE PRESENTATION
A 2-year-old boy underwent surgery to remove part of an Amplatzer occluder after patent ductus arteriosus (PDA) device embolization in the thoracic aorta. He exhibited moderate to severe obstruction with erosion of the intimal layer of the aorta caused by the device, part of which was retrieved surgically with restructuring of the thoracic aorta segment and occluder remnant. The patient's postoperative course was uneventful.
CONCLUSIONS
When possible, retrieving only part of an embolized device can be advocated because it reduces the risk of aortic and pulmonary artery damage.
中文翻译:
外科切除部分封堵器以治疗医源性主动脉缩窄:一例病例报告。
背景技术医源性主动脉瓣狭窄是严重的并发症,并且由于主动脉壁的侵蚀而可能致命。必须及时管理以防止并发症。病例介绍一名2岁男孩在胸主动脉导管未闭(PDA)栓塞后接受了手术以切除部分Amplatzer封堵器。他表现出中度至重度阻塞,由该装置引起的主动脉内膜层侵蚀,部分外科手术通过胸主动脉节段和封堵器残余物的重建而修复。病人的术后过程平稳。结论在可能的情况下,可主张仅取回栓塞装置的一部分,因为这样可以减少主动脉和肺动脉损伤的风险。
更新日期:2020-01-17
中文翻译:
外科切除部分封堵器以治疗医源性主动脉缩窄:一例病例报告。
背景技术医源性主动脉瓣狭窄是严重的并发症,并且由于主动脉壁的侵蚀而可能致命。必须及时管理以防止并发症。病例介绍一名2岁男孩在胸主动脉导管未闭(PDA)栓塞后接受了手术以切除部分Amplatzer封堵器。他表现出中度至重度阻塞,由该装置引起的主动脉内膜层侵蚀,部分外科手术通过胸主动脉节段和封堵器残余物的重建而修复。病人的术后过程平稳。结论在可能的情况下,可主张仅取回栓塞装置的一部分,因为这样可以减少主动脉和肺动脉损伤的风险。