Closing doubly committed ventricular septal defect through a super minimal intercostal incision
10.3760/cma.j.cn112434-20201209-00532
- VernacularTitle:肋间超微创切口封堵干下型室间隔缺损
- Author:
Qiang GAO
1
;
Lianglong MA
;
Zewei ZHANG
;
Jie JIN
Author Information
1. 浙江大学医学院附属儿童医院心脏中心心脏外科 国家儿童健康与疾病临床医学研究中心，杭州 310052
- Keywords:
Ventricular septal defect;
Minimally invasive;
Cardiac surgical procedures;
Child
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(12):725-728
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Combined with the actual clinical situation, to introduce the application of invasive trans super minimal intercostal device closure in doubly committed ventricular septal defect(DCVSD).Methods:Between January 2017 and July 2020, 82 DCVSD children were recruited. Relevant data such as operation time, length of hospital stay, postoperative complications, etc. were analyzed, and the follow-up of the postoperative period was used to evaluate the effect of the operation.Results:Among them, 2 children’s puncture points were bleeding. Chest closure time was obviously extended. The total operation time of the remaining children was 24-72(47.54±12.06)min, among which the umbrella release time was 5-37(16.16±8.01)min, and the chest opening and closing time was 14-59(31.56±9.58) min. Pericardial effusion occurred in 2 patients after operation, and the discharge time was more than 2 weeks. The remaining children were hospitalized for 3-9(5.79±1.45)days after surgery.Conclusion:Closing DCVSDs through a super minimal intercostal incision under TEE guidance was safe, effective and less trauma.
