论文部分内容阅读
患者女性,75岁。诊断持续性心房颤动,高血压病2级,心脏扩大,心功能Ⅱ级,冠心病,腔隙性脑梗死。具有左心耳封堵的适应证。在食管超声及X线下尝试使用直径33mm,Watchman封堵器封闭左心耳,因左心耳形态呈双叶状,心耳主干长度不足以锚定封堵器,致封堵失败,后改为30,24mm的封堵器封闭仍未成功。出院3周后行环肺静脉消融心房颤动,术后转为窦性心律。
Patient female, 75 years old. Diagnosis of persistent atrial fibrillation, hypertension 2, heart enlargement, heart function Ⅱ, coronary heart disease, lacunar infarction. Indications with left atrial appendage closure. In the esophageal ultrasound and X-ray try to use the diameter of 33mm, Watchman occluder closed the left atrial appendage, because the left atrial appendage was double-lobed, the length of the atrial appendage is not enough to anchor the occluder, resulting in closure failure, changed to 30, 24mm occluder closure has not been successful. Circulation of pulmonary veins atrial fibrillation was performed 3 weeks after discharge and converted to sinus rhythm after surgery.