关键词: arrhythmia atrial septal defect (asd) av block cardiology congenital heart disease eisenmenger syndrome mobitz type 1 wenckebach percutaneous intervention pulmonary hypertension stroke risk

来  源:   DOI:10.7759/cureus.62073   PDF(Pubmed)

Abstract:
Atrial septal defects are a common congenital malformation that can lead to an elevated risk for stroke due to the bypass of the lungs by deep vein thrombosis, as well as the expected repercussions of pulmonary hypertension if left untreated. Surgical intervention is definitive; however, recent advancements in treatment options, such as percutaneous intervention, represent a safer and equally effective way to treat this congenital complication. While safer, percutaneous interventions can also lead to adverse events that may force patients to present to the emergency department. Here, we present a unique case of a patient with congenital atrial septal defect status post-percutaneous intervention who developed a new-onset second-degree AV block, Mobitz type 1 Wenckebach rhythm.
摘要:
房间隔缺损是一种常见的先天性畸形,由于深静脉血栓形成导致肺部旁路,可能导致中风的风险增加,以及如果不及时治疗,肺动脉高压的预期影响。手术干预是决定性的;然而,治疗方案的最新进展,如经皮介入,代表一种更安全、同样有效的方法来治疗这种先天性并发症。虽然更安全,经皮介入治疗也可能导致不良事件,迫使患者到急诊科就诊.这里,我们介绍了一例先天性房间隔缺损患者经皮介入治疗后出现新发二级房室传导阻滞的独特病例,莫比茨1型温克巴赫节奏。
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