Clinical Outcomes of Transesophageal Echocardiography-guided Occlusion of Infundibular Ventricular Septal Defect via Minithoracotomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHUXiao-li , YANGShi-hai , WENLin-lin , TAOShu-guang , HANJian-gang , WANGMing-hai ,  WANGJian-ming

Department of Cardiac Surgery, Children's Hospital of Hebei Province, Shijiazhuang 050031, P. R. China;

Corresponding?author：

WANGJian-ming, Email: wang_li_w@yahoo.com

Keywords：

Minithoracotomy; Occluder; Infundibular ventricular septal defect; Transesophageal echocardiography

DOI：

10.7507/1007-4848.20140136

Video：

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Objective To investigate clinical outcomes and safety of transesophageal echocardiography (TEE)-guided occlusion of infundibular ventricular septal defect (VSD) via minithoracotomy. Methods Clinical data of 21 pediatric patients with infundibular VSD who underwent TEE-guided occlusion via minithoracotomy in Children's Hospital of Hebei Province from January to June 2013 were retrospectively analyzed. There were 10 male and 11 female patients with their age of 8-24 (16±8) months and body weight of 9±3 kg. The size of VSD was 4.5±2.5 mm. TEE was used to evaluate the position of the occluder, its influence on the atrioventricular valves and aortic valve, and the presence of residual shunt. Results There was no perioperative death or complication. VSD occlusion was successfully performed in 20 out of 21 patients (95.2%). One patient received conversion to open VSD repair under extracorporeal circulation because VSD size was too big. Mean time of delivery of occluders was 32±16 minutes, the size of the occluders was 5±3 mm, and length of hospital stay was 6-8 days. All the patients were followed up for 3-6 months after discharge. During follow-up, echocardiography showed clear echo and normal position of the occluders, and there was no mild or more severe residual shunt or valvular regurgitation. Conclusion TEE-guided occlusion of infundibular VSD via minithoracotomy is easy to perform and safe with satisfactory clinical outcomes.

Citation： ZHUXiao-li, YANGShi-hai, WENLin-lin, TAOShu-guang, HANJian-gang, WANGMing-hai, WANGJian-ming. Clinical Outcomes of Transesophageal Echocardiography-guided Occlusion of Infundibular Ventricular Septal Defect via Minithoracotomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(4): 478-481. doi: 10.7507/1007-4848.20140136 Copy

1.	吳曉霞, 孫琪, 馬東星, 等.嵴內型室間隔缺損介入封堵治療后超聲心動圖評價.武警醫學, 2011, 22 (2):132-135.
2.	韓勇, 田杰, 劉琴.中國大陸室間隔缺損經導管堵閉與外科手術治療的Meta分析.中國循證兒科雜志, 2008, 3 (1):15-20.
3.	莫緒明.先天性心臟病的鑲嵌治療.臨床小兒外科雜志, 2010, 9 (1):1-3.
4.	賃可, 干昌平, 唐紅, 等.經心室穿刺封堵嬰幼兒非肌部室間隔缺損39例.中華胸心血管外科雜志, 2008, 24 (6):367-369.
5.	陳俊, 莫緒明, 左維嵩, 等.經食管超聲心動圖在偏心型封堵器治療室間隔缺損微創鑲嵌術中的應用.中國醫學影像學雜志, 2012, 20 (7):524-527, 532.
6.	唐紅, 白文娟, 安琪, 等.經食管超聲心動圖在小兒室間隔缺損微創封堵術中的應用.中國超聲醫學雜志, 2009, 25 (6):578-580.
7.	李勇, 龐廣輝, 張秀輝, 等.經胸小切口封堵治療室間隔缺損.贛南醫學院學報, 2011, 31 (4):543-544.
8.	李俊杰, 張智偉, 錢明陽, 等.應用偏心型和對稱型封堵器介入治療小兒膜周部室間隔缺損的對比研究.中國介入心臟病學雜志, 2009, 17 (6):301-304.
9.	羅艷紅, 馬小靜, 曾祥軍, 等.經食管超聲心動圖監測經胸微創室間隔缺損封堵術.中國超聲醫學雜志, 2008, 24 (10):945-947.
10.	胡振奎, 吳偉敏, 王強, 等.室間隔缺損不同手術方式的對比研究.實用醫學雜志, 2011, 27 (18):3363-3365.
11.	馬依彤, 楊毅寧.室間隔缺損介入治療的適應證、技術和并發癥.中國介入心臟病學雜志, 2009, 17 (2):116-118.
12.	邢泉生, 任悅義, 段書華, 等.經胸微創非體外循環下封堵膜部室間隔缺損.中國胸心血管外科臨床雜志, 2010, 17 (5):365-369.
13.	張剛成, 沈群山, 尚小珂, 等.經皮導管介入封堵與外科微創封堵治療室間隔缺損的對比研究.中國介入心臟病學雜志, 2013, 21 (1):17-20.
14.	Geng XJ, Sun SQ, Chen XF, et al. Device closure of perimembranous ventricular septal defects with a minimally invasive technique in 12 patients. Ann Thorac Surg, 2008, 85 (1):192-194.
15.	曾祥軍, 陶涼, 陳緒發, 等.經胸骨下段小切口行室間隔封堵的近期療效評價.中國微創外科雜志, 2009, 9 (5):397-398.
16.	王暉, 楊彥青, 陳華, 等.鑲嵌治療先天性心臟病干下型室間隔缺損.中國現代醫學雜志, 2012, 22 (12):83-85.
17.	泮思林, 邢泉生, 榮佑寶, 等.經食管超聲心動圖在膜周部室間隔缺損鑲嵌治療中的應用.中國超聲醫學雜志, 2008, 24 (5):459-461.
18.	葉菁菁, 蔣國平, 張澤偉, 等.小兒經食管超聲引導室間隔缺損鑲嵌治療的價值.浙江大學學報:醫學版, 2009, 38 (3):311-314.
19.	Li F, Chen M, Qiu ZK, et al. A new minimally invasive technique to occlude ventricular septal defect using an occluder device. Ann Thorac Surg, 2008, 85 (3):1067-1071.
20.	Carminati M, Butera G, Chessa M, et al. Transcatheter closure of congenital ventricular septal defects:results of the European Registry. Eur Heart J, 2007, 28 (19):2361-2368.

1. 吳曉霞, 孫琪, 馬東星, 等.嵴內型室間隔缺損介入封堵治療后超聲心動圖評價.武警醫學, 2011, 22 (2):132-135.
2. 韓勇, 田杰, 劉琴.中國大陸室間隔缺損經導管堵閉與外科手術治療的Meta分析.中國循證兒科雜志, 2008, 3 (1):15-20.
3. 莫緒明.先天性心臟病的鑲嵌治療.臨床小兒外科雜志, 2010, 9 (1):1-3.
4. 賃可, 干昌平, 唐紅, 等.經心室穿刺封堵嬰幼兒非肌部室間隔缺損39例.中華胸心血管外科雜志, 2008, 24 (6):367-369.
5. 陳俊, 莫緒明, 左維嵩, 等.經食管超聲心動圖在偏心型封堵器治療室間隔缺損微創鑲嵌術中的應用.中國醫學影像學雜志, 2012, 20 (7):524-527, 532.
6. 唐紅, 白文娟, 安琪, 等.經食管超聲心動圖在小兒室間隔缺損微創封堵術中的應用.中國超聲醫學雜志, 2009, 25 (6):578-580.
7. 李勇, 龐廣輝, 張秀輝, 等.經胸小切口封堵治療室間隔缺損.贛南醫學院學報, 2011, 31 (4):543-544.
8. 李俊杰, 張智偉, 錢明陽, 等.應用偏心型和對稱型封堵器介入治療小兒膜周部室間隔缺損的對比研究.中國介入心臟病學雜志, 2009, 17 (6):301-304.
9. 羅艷紅, 馬小靜, 曾祥軍, 等.經食管超聲心動圖監測經胸微創室間隔缺損封堵術.中國超聲醫學雜志, 2008, 24 (10):945-947.
10. 胡振奎, 吳偉敏, 王強, 等.室間隔缺損不同手術方式的對比研究.實用醫學雜志, 2011, 27 (18):3363-3365.
11. 馬依彤, 楊毅寧.室間隔缺損介入治療的適應證、技術和并發癥.中國介入心臟病學雜志, 2009, 17 (2):116-118.
12. 邢泉生, 任悅義, 段書華, 等.經胸微創非體外循環下封堵膜部室間隔缺損.中國胸心血管外科臨床雜志, 2010, 17 (5):365-369.
13. 張剛成, 沈群山, 尚小珂, 等.經皮導管介入封堵與外科微創封堵治療室間隔缺損的對比研究.中國介入心臟病學雜志, 2013, 21 (1):17-20.
14. Geng XJ, Sun SQ, Chen XF, et al. Device closure of perimembranous ventricular septal defects with a minimally invasive technique in 12 patients. Ann Thorac Surg, 2008, 85 (1):192-194.
15. 曾祥軍, 陶涼, 陳緒發, 等.經胸骨下段小切口行室間隔封堵的近期療效評價.中國微創外科雜志, 2009, 9 (5):397-398.
16. 王暉, 楊彥青, 陳華, 等.鑲嵌治療先天性心臟病干下型室間隔缺損.中國現代醫學雜志, 2012, 22 (12):83-85.
17. 泮思林, 邢泉生, 榮佑寶, 等.經食管超聲心動圖在膜周部室間隔缺損鑲嵌治療中的應用.中國超聲醫學雜志, 2008, 24 (5):459-461.
18. 葉菁菁, 蔣國平, 張澤偉, 等.小兒經食管超聲引導室間隔缺損鑲嵌治療的價值.浙江大學學報:醫學版, 2009, 38 (3):311-314.
19. Li F, Chen M, Qiu ZK, et al. A new minimally invasive technique to occlude ventricular septal defect using an occluder device. Ann Thorac Surg, 2008, 85 (3):1067-1071.
20. Carminati M, Butera G, Chessa M, et al. Transcatheter closure of congenital ventricular septal defects:results of the European Registry. Eur Heart J, 2007, 28 (19):2361-2368.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical Outcomes of Transesophageal Echocardiography-guided Occlusion of Infundibular Ventricular Septal Defect via Minithoracotomy

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