Minimally invasive techniques for treatment of special cardiac malformations
- VernacularTitle:微创技术在特殊心脏畸形治疗中的应用
- Author:
Yuhang LIU
1
,
2
,
3
;
Ning WANG
1
,
2
,
3
;
Quanwei ZHU
1
,
2
,
3
;
Minglei GAO
1
,
2
,
3
;
Xuning LU
1
,
2
,
3
;
Qilong LIU
1
,
2
,
3
;
Dawei LIU
1
,
2
,
3
;
Ping WEN
1
,
2
,
3
Author Information
1. Department of Heart Center, Dalian Women'
2. s and Children'
3. s Medical Center (Group), Dalian, 116012, Liaoning, P. R. China
- Publication Type:Journal Article
- Keywords:
Minimally invasive techniques;
congenital heart disease;
child;
transesophageal echocardiography
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(12):1637-1640
- CountryChina
- Language:Chinese
-
Abstract:
Objective To share the experience of treating special cardiac malformations by applying minimally invasive techniques. Methods Eight children with special cardiac malformations admitted to our hospital from July 2014 to September 2020 were recruited, including 3 males and 5 females, aged 0.8-1.2 (1.1±0.4) years, and weighted 7.8-11.5 (9.6±2.9) kg. There were 2 patients of huge muscular ventricular septal defect (VSD), 3 perimembranous cribriform VSD, 1 right coronary-right atrial fistula, 1 right coronary-right ventricular fistula, and 1 young, low-weight child with large aortopulmonary. All were treated with minimally invasive techniques using transesophageal echocardiography (TEE) as a guiding tool. All children received intraoperative TEE immediately to evaluate the curative effect of the surgery, and all went to outpatient clinic for reexamination of echocardiography, electrocardiogram and chest X-ray after discharge. Results Eight children underwent minimally invasive surgery successfully without any incision infection, intracardiac infection, arrhythmia or pericardial effusion. None of the 8 children were lost to follow-up, and the results of all reexaminations were satisfactory. Conclusion The application of minimally invasive techniques is a bold and innovative attempt for the treatment of a few special types of cardiac malformations. It has significant advantages in reducing trauma and medical costs in some suitable patients, and has certain clinical reference values.
