Perimembranous ventricular septal defect performed minimally invasive transthoracic device closure of ventricular septal defect
10.3760/cma.j.issn.1001-4497.2013.02.004
- VernacularTitle:膜周部室间隔缺损的微创封堵术
- Author:
Hongyu LIU
;
Weixin MENG
;
Zonghong LIU
;
Bochun WANG
;
Guowei ZHANG
;
Dan WU
- Publication Type:Journal Article
- Keywords:
Ventricular septal defect;
Cardiac surgical procedures;
Surg procedures minimal invasive
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2013;(2):76-77,81
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze retrospectively the therapeutic effect and safety of minimally invasive transthoracic device closure of perimembranous ventricular septal defect (PVSD).Methods One hundred and twenty-nine patients with PVSD from January 2011 to December 2011 in our hospital were selected and a 3 to 5 cm incision was made in the inferior sternum,which performed minimally invasive transthoracic device closure of ventricular septal defect (VSD).Right ventricular free wall was punctured and guided by transthoracic echocardiography (TEE),and then the occluder was released after a delivery sheath passed through the VSD.Location of occluder,effect on heart valve,fastness and residual shunt were evaluated by TEE instantly during operation.All patients were followed up intimately after operation,echocardiogram and electrocardiogram were rechecked regularly.Results One hundred and fourteen cases were successfully occluded.Fifteen cases were performed VSD repair operation with cardiopulmonary bypass.The amounts of concentric occluder and eccentric occluder were 96 and 20,respectively.The patients performed minimally invasive transthoracic device closure of VSD had no severe complications after operation.Conclusion Although the short-term therapeutic effect of minimally invasive transthoracic device closure of PVSD is definitely and has favourable prospect of application,the long-term follow-up remains to be studied.
