Intraoperative Device Closure of Atrial Septal Defect in Infants

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: SurgeryBlood transfusionFailure to thriveHeart septal defectIntensive care unitHeart diseaseCirculatory systemMedicineSeptal Occluder DeviceAnesthesiaClosure (psychology)Pulmonary and Respiratory MedicineCardiology 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

参考文章(23)
Vladimiro L Vida, Joaquin Barnoya, Mauricio O’Connell, Juan Leon-Wyss, Luis A Larrazabal, Aldo R Castañeda, None, Surgical versus percutaneous occlusion of ostium secundum atrial septal defects: results and cost-effective considerations in a low-income country. Journal of the American College of Cardiology. ,vol. 47, pp. 326- 331 ,(2006) , 10.1016/J.JACC.2005.06.086
Gui-shuang LI, Guang-ming KONG, Qiu-shang JI, Ji-fu LI, Yu-guo CHEN, Bei-an YOU, Yun ZHANG, Reliability of transthoracic echocardiography in estimating the size of Amplatzer septal occluder and guiding percutaneous closure of atrial septal defects. Chinese Medical Journal. ,vol. 121, pp. 973- 976 ,(2008) , 10.1097/00029330-200806010-00003
Fong L. Chen, Ming C. Hsiung, Kai S. Hsieh, Yi C. Li, Ming C. Chou, Real time three-dimensional transthoracic echocardiography for guiding Amplatzer septal occluder device deployment in patients with atrial septal defect. Echocardiography-a Journal of Cardiovascular Ultrasound and Allied Techniques. ,vol. 23, pp. 763- 770 ,(2006) , 10.1111/J.1540-8175.2006.00322.X
Jonathan M. Kalman, George F. VanHare, Jeffrey E. Olgin, Leslie A. Saxon, Stephen I. Stark, Michael D. Lesh, Ablation of ‘Incisional’ Reentrant Atrial Tachycardia Complicating Surgery for Congenital Heart Disease Use of Entrainment to Define a Critical Isthmus of Conduction Circulation. ,vol. 93, pp. 502- 512 ,(1996) , 10.1161/01.CIR.93.3.502
Li Hongxin, Guo Wenbin, Sheng Lijun, Wang Zhengjun, Liang Hao, Zou Chengwei, Du Liang, Yuan Guidao, Intraoperative device closure of secundum atrial septal defect with a right anterior minithoracotomy in 100 patients The Journal of Thoracic and Cardiovascular Surgery. ,vol. 134, pp. 946- 951 ,(2007) , 10.1016/J.JTCVS.2007.05.002
C Bull, J Deanfield, M de Leval, J Stark, J F Taylor, F J Macartney, Correction of isolated secundum atrial septal defect in infancy. Archives of Disease in Childhood. ,vol. 56, pp. 784- 786 ,(1981) , 10.1136/ADC.56.10.784
John S. Pastorek, Hugh D. Allen, J.Terrance Davis, Current outcomes of surgical closure of secundum atrial septal defect American Journal of Cardiology. ,vol. 74, pp. 75- 77 ,(1994) , 10.1016/0002-9149(94)90498-7
Qiang Zhao, Xiaoning Sun, Anqing Chen, Limin Xia, Zhe Wang, M.D., Endoscopy-guided occlusion of secundum atrial defect permits use of smaller, cosmetically superior thoracotomy. Journal of Cardiac Surgery. ,vol. 24, pp. 181- 184 ,(2009) , 10.1111/J.1540-8191.2008.00804.X
Karim A. Diab, Qi-Ling Cao, Emile A. Bacha, Ziyad M. Hijazi, Device closure of atrial septal defects with the Amplatzer septal occluder: Safety and outcome in infants The Journal of Thoracic and Cardiovascular Surgery. ,vol. 134, pp. 960- 966 ,(2007) , 10.1016/J.JTCVS.2007.06.018
Folkert Meijboom, John Hess, Andras Szatmari, Elisabeth M.W.J. Utens, Jacky McGhie, Jaap W. Deckers, Jos R.T.C. Roelandt, Egbert Bos, Long-term follow-up (9 to 20 years) after surgical closure of atrial septal defect at a young age American Journal of Cardiology. ,vol. 72, pp. 1431- 1434 ,(1993) , 10.1016/0002-9149(93)90192-F