Application value of TEE on occlusion of secondum atrial septal defect in adult patients
10.3969/j.issn.1008-0074.2014.04.28
- VernacularTitle:经食道超声心动图在成人继发孔 ASD 封堵治疗中的应用价值
- Author:
Jingjing WANG
;
Xiaojing MA
;
Juan XIA
;
Yuan YUAN
;
Yafeng HE
- Publication Type:Journal Article
- Keywords:
Echocardiography;
Heart septal defects,atrial;
Surgical procedures,minimally invasive
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2014;23(4):459-462
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of transesophageal echocardiography (TEE)in secondum atri-al septal defect (ASD)intervention and minimally invasive occlusion surgery in adult patients.Methods:A total of 134 cases adult patients (>15 years)with pure secondum ASD (including 91 cases undergoing interventional occlu-sion and 43 cases undergoing minimally invasive occlusion surgery),who were screened via transthoracic echocardio-graphy (TTE)and TEE from Jan 2012 to Dec 2012,were selected.Intervention group and minimally invasive sur-gery group received TTE and TEE monitoring respectively during operation.Preoperative TTE and TEE parameters and operation results were compared and analyzed.Results:The parameters of ASD diameter measured by TEE were significantly higher than those measured by TTE in two groups (P <0.01 all).Maximum defect diameter of ASD measured by TEE was significantly higher than that of measured by TTE [(19.8±5.2)mm vs.(18.7±4.9)mm], P <0.01. The correlation between maximum defect diameter measured by TTE and occluder size (intervention group r =0.926,minimally invasive surgery group r =0.215)was all lower than that of TEE (intervention group r=0.965,minimally invasive surgery group r =0.627),P <0.01 both.Conclusion:TEE is better than TTE in as-sessment of ASD size.It should be regarded as a routine preoperative screening method for adult ASD patients.It has important value in real-time monitoring,guidance and immediate evaluation of therapeutic effects during mini-mally invasive ASD occlusion surgery.
