中国医学科学院学报2016，Vol.38Issue(6)：650-653,4.DOI:10.3881/j.issn.1000-503X.2016.06.005
经胸微创封堵术治疗继发孔房间隔缺损140例分析
Effectiveness of Secundum Atrial Septal Defect Occlusion with the Septal Occluder through Right-chest Small Incision:Clinical Analysis of 140 Cases
钱松屹 1刘鹏 1张总刚 2刘筠 2郭永忠 2郭盛 2马中原 2杜宇奎 2买买提艾力·艾则孜 2陶建双2
作者信息
- 1. 中日友好医院心脏血管外科，北京100029
- 2. 新疆维吾尔自治区人民医院心外科，乌鲁木齐830001
- 折叠
摘要
Abstract
Objective To evaluate the feasibility and effectiveness of secundum atrial septal defect ( ASD) occlusion with the septal occluder through right-chest small incision. Methods The clinical data of 140 secundum ASD patients (47 males and 93 females) aged 3-63 years who were treated in our center from August 2004 to July 2014 were retrospectively analyzed. The diameter of ASD was 6 to 36 mm. Under general anesthe-sia, all patients underwent intraoperative transtsophageal echocardiography (TEE), during which no associated cardiac deformity was found. All patients received ASD occlusion via a small incision (3-4 cm) at the right ante-rior chest. The occluders were released with the help of TEE. Results The atrial septal defect closure was suc-cessfully completed in 134 cases. Six cases received surgical closure of ASD after the failure of occlusion. The reasons of conversion included postoperative dislodgement of occlusion device ( n=2 , both were central type with large size) and technically unsuitable for occlusion ( n=4, in whom residual shunt was found in 2 case, sieve <br> pore type in 1 case, and intraoperative dislodgement in 1 case) . All of these 6 patients were treated surgically under cardiopulmonary bypass. No dislocation of the device or atrial shunt was found within 3 to 48 months after the operation. Conclusion Occlusion via small chest incision of ASD under TEE guidance without cardiopulmo-nary bypass is a safe, minimally invasive, effective, and convenient treatment and worth clinical application.关键词
经胸小切口/继发孔房间隔缺损/封堵器/经食管超声心动图Key words
small chest incision/secundum atrial septal defect/occluder/transesophageal echocardiography分类
医药卫生引用本文复制引用
钱松屹,刘鹏,张总刚,刘筠,郭永忠,郭盛,马中原,杜宇奎,买买提艾力·艾则孜,陶建双..经胸微创封堵术治疗继发孔房间隔缺损140例分析[J].中国医学科学院学报,2016,38(6):650-653,4.
