Role of transoesophageal echocardiography on perventricular closure of ventricular septal defects
10.3321/j.issn:0253-3758.2008.04.009
- VernacularTitle:经食管超声心动图在微创室间隔缺损封堵治疗中的应用
- Author:
Wen-Juan BAI
1
;
Hong TANG
;
Qi AN
;
Ke LIN
Author Information
1. 四川大学华西医院
- Keywords:
Heart septal defects,ventricular;
Echocardiography,transesophageal;
Perventricular closure
- From:
Chinese Journal of Cardiology
2008;36(4):320-322
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of transoesophageal echocardiography on perventricular closure of ventricular septal defects(VSD).Methods Transoesophageal echocardiography (TEE)was performed in 27 patients with VSD diagnosed by the transthoracic echocardiography examination (TTE)and prepared to receive perventricular closure of VSD for the purposes of choosing the appropriate occluder before VSD closure and guiding occluder release during the operation and evaluating the post operative effects of VSD closure 1 week post operation.Results Three patients with VSD not suitable for perventrieular VSD closure according to TEE results were not operated,perventricular closure of VSD were successfully performed in 20 patients and minimal residual shunt was seen in 1 patient post operation,perventricular closure of VSD failed in 4 patients and these patients received surgical closure.TEE at 1 week post successfully with perventricular closure of VSD in the 20 patients showed that there were no residual shunts and the pulmonary artery pressure was significantly lower post operation compared to that of preoperation value.Conclusion TEE is helpful in choosing the suitable patients and occlude size,guiding occlude release and evaluating the post operative results for perventricular closure of ventricular septal defects.
