Minimally invasive techniques for treatment of special cardiac malformations_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Yuhang , WANG Ning , ZHU Quanwei , GAO Minglei , LU Xuning , LIU Qilong , LIU Dawei ,  WEN Ping

Department of Heart Center, Dalian Women's and Children's Medical Center (Group), Dalian, 116012, Liaoning, P. R. China;

Corresponding?author：

WEN Ping, Email: 13504115999@163.com

Keywords：

Minimally invasive techniques; congenital heart disease; child; transesophageal echocardiography

DOI：

10.7507/1007-4848.202011052

Video：

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Objective To share the experience of treating special cardiac malformations by applying minimally invasive techniques.Methods Eight children with special cardiac malformations admitted to our hospital from July 2014 to September 2020 were recruited, including 3 males and 5 females, aged 0.8-1.2 (1.1±0.4) years, and weighted 7.8-11.5 (9.6±2.9) kg. There were 2 patients of huge muscular ventricular septal defect (VSD), 3 perimembranous cribriform VSD, 1 right coronary-right atrial fistula, 1 right coronary-right ventricular fistula, and 1 young, low-weight child with large aortopulmonary. All were treated with minimally invasive techniques using transesophageal echocardiography (TEE) as a guiding tool. All children received intraoperative TEE immediately to evaluate the curative effect of the surgery, and all went to outpatient clinic for reexamination of echocardiography, electrocardiogram and chest X-ray after discharge.Results Eight children underwent minimally invasive surgery successfully without any incision infection, intracardiac infection, arrhythmia or pericardial effusion. None of the 8 children were lost to follow-up, and the results of all reexaminations were satisfactory.Conclusion The application of minimally invasive techniques is a bold and innovative attempt for the treatment of a few special types of cardiac malformations. It has significant advantages in reducing trauma and medical costs in some suitable patients, and has certain clinical reference values.

Citation： LIU Yuhang, WANG Ning, ZHU Quanwei, GAO Minglei, LU Xuning, LIU Qilong, LIU Dawei, WEN Ping. Minimally invasive techniques for treatment of special cardiac malformations. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(12): 1637-1640. doi: 10.7507/1007-4848.202011052 Copy

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9.	崔亞洲, 翟波, 劉垚, 等. 單純超聲心動圖引導下經皮房間隔封堵術的臨床研究. 現代診斷與治療, 2017, 27(2): 1898-1900.
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1. 趙燁, 謝涌泉, 潘湘斌, 等. 經胸超聲心動圖引導下經皮介入治療兒童心臟復合畸形的安全性和有效性. 中華心血管病雜志, 2018, 46(10): 804-809.
2. 劉宇航, 高明磊, 康永明, 等. 經胸微創介入術治療小兒先天性心臟病復合畸形的療效. 中華實用兒科臨床雜志, 2018, 33(13): 1018-1021.
3. 潘湘斌, 歐陽文斌, 李琦. 經外科途徑先天性心臟病介入治療技術質量控制和進展報告. 中國循環雜志, 2020, 335(10): 955-959.
4. 盧緒寧, 劉啟龍, 劉大為, 等. 心外膜超聲心動圖在肌部室間隔缺損鑲嵌治療中的應用價值. 中華醫學超聲雜志(電子版), 2020, 17(2): 150-152.
5. 楊滔, 趙廣智, 張鳳文, 等. 單純經胸超聲心動圖引導下經皮卵圓孔未閉封堵術的臨床研究. 中國循環雜志, 2019, 34(1): 77-80.
6. Santhanam H, Yang L, Chen Z, et al. A meta-analysis of transcatheter device closure of perimembranous ventricular septal defect. Int J Cardiol, 2018, 254: 75-83.
7. Xu HX, Zheng DD, Pan M, et al. Transcatheter treatment of aortopulonary window with a symmetrical membranous ventricular septal occluder. Cardiology, 2017, 138(2): S76-S79.
8. He JG, Yan D, Li BL, et al. Surgical repair of complex aortopulmonary window: A case study. Braz J Cardiovasc Surg, 2018, 33(4): 424-427.
9. 崔亞洲, 翟波, 劉垚, 等. 單純超聲心動圖引導下經皮房間隔封堵術的臨床研究. 現代診斷與治療, 2017, 27(2): 1898-1900.
10. 吳澄, 鐘小梅. 超聲引導下經皮及經胸房間隔缺損封堵術的對比研究. 臨床醫藥實踐, 2018, 27(3): 180-182.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Minimally invasive techniques for treatment of special cardiac malformations

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