The role of echocardiography in min-invasive surgical device closure of ventricular septal defect
10.3760/cma.j.issn.1001-4497.2011.05.004
- VernacularTitle:超声心动图在外科微创封堵治疗室间隔缺损中的应用
- Author:
Chun ZHANG
;
Zhian LI
;
Jiang WU
;
Jie HAN
;
Wen ZENG
;
Xu MENG
- Publication Type:Journal Article
- Keywords:
Echocardiograpy;
Ventricular;
septal;
defect;
Min-invasive;
surgical;
operation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2011;27(5):267-270
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the application of echocardiography in mini-invasive surgical device closure of ventricular septal defect (VSD). Methods 73 VSD patients including 35 with aneurysm formation and among them 21 with multi-defects in the aneurysm were treated by mini-invasive device closure. A closure device was positioned to the defect through parastemal mini-incision in all patients. TEE was used to monitor the whole procedure, to guide the device positioning and to evaluate the curative effect instantly after operation. All patients were evaluated by TTE one year postoperatively. Results All patients were successfully positioned closure devices by TEE guiding. 9 cases were found with trace to small amount residual shunt instantly after operation. 7 cases still had small amount residual shunt at the time of 48 hours after the operation. In the one year follow-up, 4 cases had residual shunt, but the size and volume of left ventricle were significantly reduced than those before operation, and the pulmonary artery systolic pressure was also reduced. Conclusion Echocardiography possesses an important role in preoperative indication screening, intraoperation monitoring and evaluating the curative effect postoperatively.
