Asymmetric occluder in minimal-invasive surgical device closure of ventricular septal defects / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
; (12): 490-498, 2013.
Article
em Zh
| WPRIM
| ID: wpr-814857
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE@#To discuss the suitable types of ventricular septal defects for asymmetric occluders, and elucidate the critical role of echocardiography in choosing occluders, guiding successful occlusion and avoiding injury during operation.@*METHODS@#We retrospectively studied 179 patients with ventricular septal defects who received minimal-invasive surgical device closure with asymmetric occluder. We analyzed the types, size and morphology of ventricular septal defects suitable for asymmetric occluders. The therapeutic efficiency was evaluated by follow-ups.@*RESULTS@#Out of the 179 successful cases treated with asymmetric occluders, 86.59% had perimembranous ventricular septal defects, and double-committed sub-arterial ventricular septal defects accounted for 13.41%. In general, the size of occluders to be selected was the maximum diameter of the defects plus 2-3 mm. Follow-ups showed that occluders were placed and fixed properly. No severe residual shunt, valve regurgitation or heart block were discovered.@*CONCLUSION@#Application of asymmetric occluders expands the range of indications for occlusion via small chest incision. Accurate echocardiography helps to improve the safety and successful rate of the surgery.
Texto completo:
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Índice:
WPRIM
Assunto principal:
Cirurgia Geral
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Diagnóstico por Imagem
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Estudos Retrospectivos
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Ecocardiografia Doppler em Cores
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Procedimentos Cirúrgicos Minimamente Invasivos
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Dispositivo para Oclusão Septal
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Comunicação Interventricular
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Métodos
Tipo de estudo:
Diagnostic_studies
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Observational_studies
Limite:
Adolescent
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
Zh
Revista:
Journal of Central South University(Medical Sciences)
Ano de publicação:
2013
Tipo de documento:
Article