Value of intraoperative closure atrial sepetal defect with deficient rims inducted by transoesophageal echocardiography

VernacularTitle:经食管超声心动图引导微创封堵缺乏边缘的房间隔缺损的应用价值
Author: Cuizhen PAN ; Qiang ZHAO ; Xianhong SHU ; Xiaoning SUN ; Leilei CHENG ; Wenming PAN ; Lili DONG
Publication Type:Journal Article
Keywords: Echocardiography,transesophageal; Heart septal defect,atrial
From: Chinese Journal of Ultrasonography 2009;18(6):489-491
CountryChina
Language:Chinese
Abstract: Objective To evaluate the application valve of intraoperative device closure secundum atrial sepetal defect (ASD) associated with deficient rims inducted by transoesophageal echocardiography (TEE). Methods Twenty-three patients with ASD were diagnosed by transthoracic echocardiography (TTE) ,and underwent an attempted intraoperative device closure through a right antierior minithoraetomy. The positon, type and size and rim of ASD were defined by TEE in preoperation, the placement of the device inducted and evaluated by TEE intraoperation,and followed by TTE after one week. Results Twenty-three patients with ASD were closed excellently. There were not shunt of atrial level in 20 patients, trivial shunt in 3 patients. However,follow-up after one week TTE indicated that all patients had no shunt,and the diameter of right atrium and right ventricle was decrease significantly (P <0.05), and pulmonary artery pressure was less than before (P <0.05). Conclusions It is very important that TEE induct the closure of ASD associated with deficient rims in micro-operative room.