作者: Qiang Chen , Liang-Wan Chen , Hua Cao , Gui-Can Zhang , Dao-Zhong Chen
DOI: 10.1016/J.ATHORACSUR.2010.01.004
关键词: Surgery 、 Blood transfusion 、 Failure to thrive 、 Heart septal defect 、 Intensive care unit 、 Heart disease 、 Circulatory system 、 Medicine 、 Septal Occluder Device 、 Anesthesia 、 Closure (psychology) 、 Pulmonary and Respiratory Medicine 、 Cardiology and Cardiovascular Medicine
摘要: Background We evaluated the safety and feasibility of intraoperative device closure atrial septal defect in infants. Methods From January 2005 to September 2009, we enrolled 32 infants with secundum-type our institution. Patients were divided into two groups: 17 patients group I had 15 II surgical closure. Intraoperative involved a minimal intercostal incision that was performed after full evaluation by transthoracic echocardiography, insertion through delivery sheath occlude defect. Results The procedure successful all patients. In I, size implanted occluder ranged between 6 10 mm (mean 8.5 ± 1.3 mm), complete rates at 24 hours 3 months 94.1% 100%, respectively. infants, minor complications occurred; transient arrhythmia (n = 15) blood transfusion 6). II, needed transfusions suffered from various complications. Follow-up obtained both groups. During follow-up, clinical development growth improved children failure thrive. There no recurrences, thromboses, or failures. comparative studies, significantly longer intensive care unit stay hospital than ( p Conclusions is safe feasible technique for It has advantages cost savings, better cosmetic results, less trauma