Device Closure of Perimembranous Ventricular Septal Defects With a Minimally Invasive Technique in 12 Patients
| Autor: | Yan Hong Luo, Xiao Jing Ma, Liang Tao, Xu Fa Chen, Yeong Phang Lim, Xiang Jun Zeng, Shan Quan Sun |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Heart Septal Defects Ventricular Male Pulmonary and Respiratory Medicine Cardiac Catheterization medicine.medical_specialty Percutaneous Adolescent Heart disease Risk Assessment law.invention Cohort Studies law Internal medicine medicine Cardiopulmonary bypass Humans Minimally Invasive Surgical Procedures cardiovascular diseases Cardiac Surgical Procedures Child Heart septal defect business.industry Prostheses and Implants medicine.disease Intensive care unit Surgery Treatment Outcome medicine.anatomical_structure Ventricle Cardiology Female Cardiology and Cardiovascular Medicine business Atrioventricular block Echocardiography Transesophageal Shunt (electrical) Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 85:192-194 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/j.athoracsur.2007.07.018 |
| Popis: | Background Both surgical management and percutaneous device closure of perimembranous ventricular septal defects without cardiopulmonary bypass have drawbacks and limitations. This report describes the experience with intraoperative device closure of perimembranous ventricular septal defects without cardiopulmonary bypass by a minimally invasive technique. Methods Twelve patients who had perimembranous ventricular septal defects underwent perventricular closure by a minimally invasive incision without cardiopulmonary bypass. A subxiphoid minimally invasive incision was performed. The right ventricle free wall was punctured, and a guidewire was introduced into the right ventricular cavity. A delivery sheath was advanced over the wire and through the defect into the left ventricular cavity under the guidance of transesophageal echocardiography. The device was released under the guidance of transesophageal echocardiography without cardiopulmonary bypass. Results The procedure was successful in the 12 patients. Patients stayed in the intensive care unit 1 day and were in the hospital 4 days. At follow-up of 2 to 4 months, there was no operative mortality, atrioventricular block, new aortic incompetence, or residual shunt. Conclusions The minimally invasive technique appeared to be safe and efficacious for closure of perimembranous ventricular septal defects in the operating room with acceptable short-term outcomes. |
| Databáze: | OpenAIRE |
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