Effect of transthoracic minimally invasive intervention in treatment on congenital heart disease complicated with compound deformities
10.3760/cma.j.issn.2095-428X.2018.13.013
- VernacularTitle:经胸微创介入术治疗小儿先天性心脏病复合畸形的疗效
- Author:
Yuhang LIU
1
;
Ning WANG
;
Ye ZHAO
;
Dawei LIU
;
Xuning LU
;
Quanwei ZHU
;
Minglei GAO
;
Ping WEN
Author Information
1. 116012,大连市儿童医院心脏综合病房
- Keywords:
Congenital heart disease;
Transesophageal echocardiography;
Complex cardiac abnormalities;
Child;
Transthoracic minimally invasive
- From:
Chinese Journal of Applied Clinical Pediatrics
2018;33(13):1018-1021
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and therapeutic effect of transesophageal echocardiography(TEE)-guided transthoracic minimally invasive intervention for congenital heart disease complicated with compound heart ab-normalities in children.Methods From September 2013 to January 2018,32 children with congenital heart disease complicated with compound heart abnormalities were collected,who undergoing TEE-guided transthoracic minimally invasive intervention at the Department of Cardiothoracic Surgery,Dalian Children's Hospital were collected.There were 6 cases of ventricular septal defect (VSD)combined with atrial septal defect (ASD),11 cases of VSD combined with patent ductus arteriosus (PDA),9 cases of ASD combined with PDA,3 cases of VSD combined with pulmonary stenosis (PS),and 3 cases of ASD combined with PS.TEE-guided transcatheter closure was performed within a minimally in-vasive transthoracic minimal incision (1 -2 cm)under non-cardiopulmonary bypass.The efficacy of the procedure was evaluated by TEE.The transthoracic echocardiography,chest film and cardiogram after post-procedure examina-tions were followed.Results TEE-guided transthoracic minimally invasive perventricular intervention was successfully performed in all the sick children.The mean duration of operation,intensive care unit monitoring and ventilation were (54.2 ± 21.8)min,(14.3 ± 8.7)h and (3.7 ± 2.9)h,respectively.No patient received diuretic drugs,sedation drugs,blood transfusion or conventional surgical repair. The follow - up period for all the patients lasted 12 -48 months.No arrhythmias,residual shunts or occluder detachments,or thrombosis,hemorrhage,or new valve regurgitation occurred.Conclusions TEE -guided transthoracic minimally invasive intervention is feasible and has a promising prognosis for young children with congenital heart disease combined with compound heart abnormalities.
