广西医学Issue(9)：1215-1218,4.DOI:10.11675/j.issn.0253-4304.2014.09.08
室间隔缺损封堵术后超声心动图随访研究
Follow-up of Echocardiography after Transcatheter Closure of Ventricular Septal Defect
摘要
Abstract
Objective To evaluate the value of transthoracic echocardiography ( TTE ) in the follow-up after transcatheter closure of ventricular septal defect (VSD).Methods Three hundred and twenty-five cases of VSD underwent percutaneous catheter occlusion successfully under TTE .TTE was performed for these patients on the 1st to 3rd day,3rd month,6th month and 1st year after operation ,respectively .And then the follow-up was carried out once a year .Results Three hundred and twenty-six occluders were used in the 325 patients.Compared with the preoperative ,some indexes were significantly lower at 1-3 days postoperatively ( P<0.05),including left atrial end-systolic systolic ( LAESD),main pulmonary artery ( MPA ) , left ventricular end-diastolic diameter ( LVEDD ) , left ventricular end-diastolic volume (LVEDV),left ventricular ejection fraction(LVEF) and left ventricular fraction shortening(LVFS).However,there was no significant difference in right ventricular end-diastolic diameter ( RVEDD ) between preoperative and postoperative (P>0.05).During the follow-up of (18.2 ±20.4)months,2 cases were found slightly residual shunt in the repair of VSD,and one in the occlusion of patent ductus arteriosus with slightly residual shunt completely disappeared 3 months later.One case, without tricuspid regurgitation before operation , experienced moderate tricuspid regurgitation on the postoperative 3rd day,which developed to anterior tricuspid valve prolapsed with severe regurgitation after a follow-up of 8 years.Conclusion TTE has important clinical value in the long-term and large-scale follow-up after occlusion of VSD.关键词
室间隔缺损/超声心动图/封堵术/随访Key words
Ventricular septal defect/Echocardiography/Occlusion/Follow-up分类
医药卫生引用本文复制引用
胡孝贞,郭盛兰,吴棘,禹岳华,张登峰,李卉,杨金芳,黎引丽..室间隔缺损封堵术后超声心动图随访研究[J].广西医学,2014,(9):1215-1218,4.基金项目
广西自然科学基金资助项目（GXNSFDA239002）；广西科学研究与技术开发计划项目 （）
