The comparison of right ventricular structure and safety on intervening closure of atrial septal defects in congenital heart disease
10.3969/j.issn.1671-8348.2015.25.014
- VernacularTitle:先天性心脏病 ASD 介入封堵治疗术后右心结构改变及安全性的比较?
- Author:
Shangwu GU
;
Qianfeng JIANG
;
Liang GONG
;
Hongyan ZHAO
;
Jin SHENG
;
Mingliang FANG
;
Gehong PENG
;
Wenhong TAO
- Publication Type:Journal Article
- Keywords:
heart disease;
atrial septal defect;
interventional therapy;
closure
- From:
Chongqing Medicine
2015;(25):3500-3502
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the influence of congenital heart disease(atrial septal defect,ASD)to intervene closure on the right structure of children(<1 5 years)and adults(1 5-65 years)and to make the safety assessment.Methods Totally 1 1 1 un-derwent interventional treatment of complications in patients with ASD in our hospital from 2010 to 2013 were retrospective ana-lyzed.Closure on changing of right heart structure of child and adult were measured by ultrasonic cardiogram.Closure falls off,shut valve insufficiency,arrhythmia,residual shunt were recorded by ultrasonic cardiogram and electrocardiogram.making statistical a-nalysis.Results The inner diameter of the right atrium(RAD),right ventricle diameter(RVD),pulmonary artery diameter(PA) and right ventricular outflow tract(RVOT)were decreased compared with pre-operation(P < 0.05 ),during the follow-up 1,3,6 month,they was continue decreased in the aged between1 5-65 group(P <0.05),but was stable in less than 1 5 years old age group (P >0.05 ).The complication rate of children and adults were 25.0% and 21.3% respectively,and there were no significantly difference(P >0.05),and was no serious complications.Conclusion Congenital heart disease intervention of atria septal defects can improve heart right structure,which can benefit both children and adult,there is no difference in complication rates.All of these have less serious complications,high safety,curative effect affirmation.
