Comparative analysis between the echocardiographic type of ventricular septal defect and the approach of surgical operation
- VernacularTitle:超声心动图的室间隔缺损分型与外科手术路径的对照分析
- Author:
Yihua HE
;
Zhian LI
;
Xiaoyan GU
- Publication Type:Journal Article
- Keywords:
Heart septal defects,ventricular;
Classification;
Surgery;
Complications
- From:Chinese Journal of Medical Imaging Technology
2010;26(1):72-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the value of echocardiography in guiding surgical operation approach of ventricular septal defect (VSD). Methods A total of 200 patients with VSD underwent surgical repair. The type of VSD was determined with echocardiography before operation and the results were analyzed in comparison with operation approach. Results There was significant accordance in the type of VSD detected with echocardiography and the surgical findings, and the coincidence rate of 80.00%. The transatrial approach was chosen in patients with perimembranous VSD, subseptal cusp VSD and simple membranous;the anspulmonary approach was chosen in subarterial VSD, while transventricular approach was chosen in muscular VSD or VSD with large size. Combined approach was suitable in VSD complicated with intracardiac malformations. Conclusion The type of VSD determined with echocardiography plays a key role in the selection of operation approach, and is benefit to reducing complications.
