Transesophageal echocardiography guided occlusion of ventricular septal defect via small chest incision: a report of 142 cases
10.3760/cma.j.issn.1008-1372.2015.02.002
- VernacularTitle:食道超声引导下经胸微创室间隔缺损封堵142例报告
- Author:
Dawei XI
;
Chengzhong YU
;
Haiyan QIU
- Publication Type:Journal Article
- Keywords:
Heart septal defects,ventricular/SU;
Heart catheterization;
Thoracotomy;
Surgical procedures,minimally invasive/MT;
Echocardiography,transesophageal
- From:
Journal of Chinese Physician
2015;17(2):164-165,168
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the experience of microinvasive surgical occlusion of ventricular septal defect (VSD).Methods A total of 142 children with VSD was given microinvasive surgical occlusion from March 2009 to December 2013 at our hospital.There were 90 males and 52 females,the age ranged from 8 months to 11 years,and body weight from 7 kg to 35 kg,and ventricular septal defects were divided into membranous type,film cycle headquarter type,pulmonary valve type,and muscle type.The diameter of VSD was 2 ～ 10 mm.Under general anesthesia,an incision was made in the lower part of sternum or intercostals space,and a special occluder was inserted to close the ostium via right ventricle puncture under the guidance of transesophageal echocardiography.Results A total of 139 cases had successful occluded with a 97.8％ of successful rate,using blocking umbrella 4 ～ 12#,including 25 eccentric umbrella.Two cases were operated under extracorporeal circulation because of aggravated aortic valve insufficiency.One case without handled muscular ventricular septal defect combined atrial septal defect for guide wire pass muscular defect failed.Full set did not have death and third degree A-V block.Conclusions Microinvasive surgical occlusion is easy to handle,operation-time short,and relative broad for the closure of ventricular septal defect.It has a fast recovery and good effectiveness with a beautiful outlook and safety.
