Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience

<p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods<...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Cao Hua [verfasserIn] Chen Qiang [verfasserIn] Zhang Gui-Can [verfasserIn] Chen Liang-Wan [verfasserIn] Li Qian-Zhen [verfasserIn] Qiu Zhi-Huang [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2011

Schlagwörter:	CHD septal defects Cardiac intervention Surgery

Übergeordnetes Werk:	In: Journal of Cardiothoracic Surgery - BMC, 2006, 6(2011), 1, p 166
Übergeordnetes Werk:	volume:6 ; year:2011 ; number:1, p 166

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/1749-8090-6-166

Katalog-ID:	DOAJ038979594

Internformat


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allfields	10.1186/1749-8090-6-166 doi (DE-627)DOAJ038979594 (DE-599)DOAJ54b223d091664cc38bb113e1d8ae69d7 DE-627 ger DE-627 rakwb eng RD1-811 RD78.3-87.3 Cao Hua verfasserin aut Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods</p< <p<We enrolled 18 patients from our hospital to participate in the study from June 2011 to September 2011. A minimal inferior median incision was performed after full evaluation of the perimembranous VSD by real-time TTE, and a domestically made device was inserted to occlude the perimembranous VSD. The proper size of the device was determined by means of transthoracic echocardiographic analysis.</p< <p<Results</p< <p<Implantation was ultimately successful in 16 patients using TTE guidance. In these cases, the complete closure rate immediately following the operation and on subsequent follow-up was 100%. Symmetric devices were used in 14 patients, and asymmetric devices were used in two patients. Two patient were transformed to surgical treatment, one for significant residual shunting, and the other for unsuccessful wire penetration of the VSD. The follow-up periods were less than nine months, and only one patient had mild aortic regurgitation. There were no instances of residual shunt, noticeable aortic regurgitation, significant arrhythmia, thrombosis, or device failure.</p< <p<Conclusions</p< <p<Minimally invasive transthoracic device closure of perimembranous VSDs is safe and feasible, using a domestically made device under transthoracic echocardiographic guidance, without the need for cardiopulmonary bypass. This technique should be considered an acceptable alternative to surgery or device closure guided by transesophageal echocardiography in selected young children. However, a long-term evaluation of outcomes is necessary.</p< CHD septal defects Cardiac intervention Surgery Anesthesiology Chen Qiang verfasserin aut Zhang Gui-Can verfasserin aut Chen Liang-Wan verfasserin aut Li Qian-Zhen verfasserin aut Qiu Zhi-Huang verfasserin aut In Journal of Cardiothoracic Surgery BMC, 2006 6(2011), 1, p 166 (DE-627)509401260 (DE-600)2227224-0 17498090 nnns volume:6 year:2011 number:1, p 166 https://doi.org/10.1186/1749-8090-6-166 kostenfrei https://doaj.org/article/54b223d091664cc38bb113e1d8ae69d7 kostenfrei http://www.cardiothoracicsurgery.org/content/6/1/166 kostenfrei https://doaj.org/toc/1749-8090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2011 1, p 166
spelling	10.1186/1749-8090-6-166 doi (DE-627)DOAJ038979594 (DE-599)DOAJ54b223d091664cc38bb113e1d8ae69d7 DE-627 ger DE-627 rakwb eng RD1-811 RD78.3-87.3 Cao Hua verfasserin aut Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods</p< <p<We enrolled 18 patients from our hospital to participate in the study from June 2011 to September 2011. A minimal inferior median incision was performed after full evaluation of the perimembranous VSD by real-time TTE, and a domestically made device was inserted to occlude the perimembranous VSD. The proper size of the device was determined by means of transthoracic echocardiographic analysis.</p< <p<Results</p< <p<Implantation was ultimately successful in 16 patients using TTE guidance. In these cases, the complete closure rate immediately following the operation and on subsequent follow-up was 100%. Symmetric devices were used in 14 patients, and asymmetric devices were used in two patients. Two patient were transformed to surgical treatment, one for significant residual shunting, and the other for unsuccessful wire penetration of the VSD. The follow-up periods were less than nine months, and only one patient had mild aortic regurgitation. There were no instances of residual shunt, noticeable aortic regurgitation, significant arrhythmia, thrombosis, or device failure.</p< <p<Conclusions</p< <p<Minimally invasive transthoracic device closure of perimembranous VSDs is safe and feasible, using a domestically made device under transthoracic echocardiographic guidance, without the need for cardiopulmonary bypass. This technique should be considered an acceptable alternative to surgery or device closure guided by transesophageal echocardiography in selected young children. However, a long-term evaluation of outcomes is necessary.</p< CHD septal defects Cardiac intervention Surgery Anesthesiology Chen Qiang verfasserin aut Zhang Gui-Can verfasserin aut Chen Liang-Wan verfasserin aut Li Qian-Zhen verfasserin aut Qiu Zhi-Huang verfasserin aut In Journal of Cardiothoracic Surgery BMC, 2006 6(2011), 1, p 166 (DE-627)509401260 (DE-600)2227224-0 17498090 nnns volume:6 year:2011 number:1, p 166 https://doi.org/10.1186/1749-8090-6-166 kostenfrei https://doaj.org/article/54b223d091664cc38bb113e1d8ae69d7 kostenfrei http://www.cardiothoracicsurgery.org/content/6/1/166 kostenfrei https://doaj.org/toc/1749-8090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2011 1, p 166
allfields_unstemmed	10.1186/1749-8090-6-166 doi (DE-627)DOAJ038979594 (DE-599)DOAJ54b223d091664cc38bb113e1d8ae69d7 DE-627 ger DE-627 rakwb eng RD1-811 RD78.3-87.3 Cao Hua verfasserin aut Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods</p< <p<We enrolled 18 patients from our hospital to participate in the study from June 2011 to September 2011. A minimal inferior median incision was performed after full evaluation of the perimembranous VSD by real-time TTE, and a domestically made device was inserted to occlude the perimembranous VSD. The proper size of the device was determined by means of transthoracic echocardiographic analysis.</p< <p<Results</p< <p<Implantation was ultimately successful in 16 patients using TTE guidance. In these cases, the complete closure rate immediately following the operation and on subsequent follow-up was 100%. Symmetric devices were used in 14 patients, and asymmetric devices were used in two patients. Two patient were transformed to surgical treatment, one for significant residual shunting, and the other for unsuccessful wire penetration of the VSD. The follow-up periods were less than nine months, and only one patient had mild aortic regurgitation. There were no instances of residual shunt, noticeable aortic regurgitation, significant arrhythmia, thrombosis, or device failure.</p< <p<Conclusions</p< <p<Minimally invasive transthoracic device closure of perimembranous VSDs is safe and feasible, using a domestically made device under transthoracic echocardiographic guidance, without the need for cardiopulmonary bypass. This technique should be considered an acceptable alternative to surgery or device closure guided by transesophageal echocardiography in selected young children. However, a long-term evaluation of outcomes is necessary.</p< CHD septal defects Cardiac intervention Surgery Anesthesiology Chen Qiang verfasserin aut Zhang Gui-Can verfasserin aut Chen Liang-Wan verfasserin aut Li Qian-Zhen verfasserin aut Qiu Zhi-Huang verfasserin aut In Journal of Cardiothoracic Surgery BMC, 2006 6(2011), 1, p 166 (DE-627)509401260 (DE-600)2227224-0 17498090 nnns volume:6 year:2011 number:1, p 166 https://doi.org/10.1186/1749-8090-6-166 kostenfrei https://doaj.org/article/54b223d091664cc38bb113e1d8ae69d7 kostenfrei http://www.cardiothoracicsurgery.org/content/6/1/166 kostenfrei https://doaj.org/toc/1749-8090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2011 1, p 166
allfieldsGer	10.1186/1749-8090-6-166 doi (DE-627)DOAJ038979594 (DE-599)DOAJ54b223d091664cc38bb113e1d8ae69d7 DE-627 ger DE-627 rakwb eng RD1-811 RD78.3-87.3 Cao Hua verfasserin aut Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods</p< <p<We enrolled 18 patients from our hospital to participate in the study from June 2011 to September 2011. A minimal inferior median incision was performed after full evaluation of the perimembranous VSD by real-time TTE, and a domestically made device was inserted to occlude the perimembranous VSD. The proper size of the device was determined by means of transthoracic echocardiographic analysis.</p< <p<Results</p< <p<Implantation was ultimately successful in 16 patients using TTE guidance. In these cases, the complete closure rate immediately following the operation and on subsequent follow-up was 100%. Symmetric devices were used in 14 patients, and asymmetric devices were used in two patients. Two patient were transformed to surgical treatment, one for significant residual shunting, and the other for unsuccessful wire penetration of the VSD. The follow-up periods were less than nine months, and only one patient had mild aortic regurgitation. There were no instances of residual shunt, noticeable aortic regurgitation, significant arrhythmia, thrombosis, or device failure.</p< <p<Conclusions</p< <p<Minimally invasive transthoracic device closure of perimembranous VSDs is safe and feasible, using a domestically made device under transthoracic echocardiographic guidance, without the need for cardiopulmonary bypass. This technique should be considered an acceptable alternative to surgery or device closure guided by transesophageal echocardiography in selected young children. However, a long-term evaluation of outcomes is necessary.</p< CHD septal defects Cardiac intervention Surgery Anesthesiology Chen Qiang verfasserin aut Zhang Gui-Can verfasserin aut Chen Liang-Wan verfasserin aut Li Qian-Zhen verfasserin aut Qiu Zhi-Huang verfasserin aut In Journal of Cardiothoracic Surgery BMC, 2006 6(2011), 1, p 166 (DE-627)509401260 (DE-600)2227224-0 17498090 nnns volume:6 year:2011 number:1, p 166 https://doi.org/10.1186/1749-8090-6-166 kostenfrei https://doaj.org/article/54b223d091664cc38bb113e1d8ae69d7 kostenfrei http://www.cardiothoracicsurgery.org/content/6/1/166 kostenfrei https://doaj.org/toc/1749-8090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2011 1, p 166
allfieldsSound	10.1186/1749-8090-6-166 doi (DE-627)DOAJ038979594 (DE-599)DOAJ54b223d091664cc38bb113e1d8ae69d7 DE-627 ger DE-627 rakwb eng RD1-811 RD78.3-87.3 Cao Hua verfasserin aut Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods</p< <p<We enrolled 18 patients from our hospital to participate in the study from June 2011 to September 2011. A minimal inferior median incision was performed after full evaluation of the perimembranous VSD by real-time TTE, and a domestically made device was inserted to occlude the perimembranous VSD. The proper size of the device was determined by means of transthoracic echocardiographic analysis.</p< <p<Results</p< <p<Implantation was ultimately successful in 16 patients using TTE guidance. In these cases, the complete closure rate immediately following the operation and on subsequent follow-up was 100%. Symmetric devices were used in 14 patients, and asymmetric devices were used in two patients. Two patient were transformed to surgical treatment, one for significant residual shunting, and the other for unsuccessful wire penetration of the VSD. The follow-up periods were less than nine months, and only one patient had mild aortic regurgitation. There were no instances of residual shunt, noticeable aortic regurgitation, significant arrhythmia, thrombosis, or device failure.</p< <p<Conclusions</p< <p<Minimally invasive transthoracic device closure of perimembranous VSDs is safe and feasible, using a domestically made device under transthoracic echocardiographic guidance, without the need for cardiopulmonary bypass. This technique should be considered an acceptable alternative to surgery or device closure guided by transesophageal echocardiography in selected young children. However, a long-term evaluation of outcomes is necessary.</p< CHD septal defects Cardiac intervention Surgery Anesthesiology Chen Qiang verfasserin aut Zhang Gui-Can verfasserin aut Chen Liang-Wan verfasserin aut Li Qian-Zhen verfasserin aut Qiu Zhi-Huang verfasserin aut In Journal of Cardiothoracic Surgery BMC, 2006 6(2011), 1, p 166 (DE-627)509401260 (DE-600)2227224-0 17498090 nnns volume:6 year:2011 number:1, p 166 https://doi.org/10.1186/1749-8090-6-166 kostenfrei https://doaj.org/article/54b223d091664cc38bb113e1d8ae69d7 kostenfrei http://www.cardiothoracicsurgery.org/content/6/1/166 kostenfrei https://doaj.org/toc/1749-8090 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2011 1, p 166
language	English
source	In Journal of Cardiothoracic Surgery 6(2011), 1, p 166 volume:6 year:2011 number:1, p 166
sourceStr	In Journal of Cardiothoracic Surgery 6(2011), 1, p 166 volume:6 year:2011 number:1, p 166
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authorswithroles_txt_mv	Cao Hua @@aut@@ Chen Qiang @@aut@@ Zhang Gui-Can @@aut@@ Chen Liang-Wan @@aut@@ Li Qian-Zhen @@aut@@ Qiu Zhi-Huang @@aut@@
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callnumber-first	R - Medicine
author	Cao Hua
spellingShingle	Cao Hua misc RD1-811 misc RD78.3-87.3 misc CHD misc septal defects misc Cardiac intervention misc Surgery misc Anesthesiology Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience
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topic_title	RD1-811 RD78.3-87.3 Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience CHD septal defects Cardiac intervention Surgery
topic	misc RD1-811 misc RD78.3-87.3 misc CHD misc septal defects misc Cardiac intervention misc Surgery misc Anesthesiology
topic_unstemmed	misc RD1-811 misc RD78.3-87.3 misc CHD misc septal defects misc Cardiac intervention misc Surgery misc Anesthesiology
topic_browse	misc RD1-811 misc RD78.3-87.3 misc CHD misc septal defects misc Cardiac intervention misc Surgery misc Anesthesiology
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title	Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience
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title_full	Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience
author_sort	Cao Hua
journal	Journal of Cardiothoracic Surgery
journalStr	Journal of Cardiothoracic Surgery
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author_browse	Cao Hua Chen Qiang Zhang Gui-Can Chen Liang-Wan Li Qian-Zhen Qiu Zhi-Huang
container_volume	6
class	RD1-811 RD78.3-87.3
format_se	Elektronische Aufsätze
author-letter	Cao Hua
doi_str_mv	10.1186/1749-8090-6-166
author2-role	verfasserin
title_sort	intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience
callnumber	RD1-811
title_auth	Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience
abstract	<p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods</p< <p<We enrolled 18 patients from our hospital to participate in the study from June 2011 to September 2011. A minimal inferior median incision was performed after full evaluation of the perimembranous VSD by real-time TTE, and a domestically made device was inserted to occlude the perimembranous VSD. The proper size of the device was determined by means of transthoracic echocardiographic analysis.</p< <p<Results</p< <p<Implantation was ultimately successful in 16 patients using TTE guidance. In these cases, the complete closure rate immediately following the operation and on subsequent follow-up was 100%. Symmetric devices were used in 14 patients, and asymmetric devices were used in two patients. Two patient were transformed to surgical treatment, one for significant residual shunting, and the other for unsuccessful wire penetration of the VSD. The follow-up periods were less than nine months, and only one patient had mild aortic regurgitation. There were no instances of residual shunt, noticeable aortic regurgitation, significant arrhythmia, thrombosis, or device failure.</p< <p<Conclusions</p< <p<Minimally invasive transthoracic device closure of perimembranous VSDs is safe and feasible, using a domestically made device under transthoracic echocardiographic guidance, without the need for cardiopulmonary bypass. This technique should be considered an acceptable alternative to surgery or device closure guided by transesophageal echocardiography in selected young children. However, a long-term evaluation of outcomes is necessary.</p<
abstractGer	<p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods</p< <p<We enrolled 18 patients from our hospital to participate in the study from June 2011 to September 2011. A minimal inferior median incision was performed after full evaluation of the perimembranous VSD by real-time TTE, and a domestically made device was inserted to occlude the perimembranous VSD. The proper size of the device was determined by means of transthoracic echocardiographic analysis.</p< <p<Results</p< <p<Implantation was ultimately successful in 16 patients using TTE guidance. In these cases, the complete closure rate immediately following the operation and on subsequent follow-up was 100%. Symmetric devices were used in 14 patients, and asymmetric devices were used in two patients. Two patient were transformed to surgical treatment, one for significant residual shunting, and the other for unsuccessful wire penetration of the VSD. The follow-up periods were less than nine months, and only one patient had mild aortic regurgitation. There were no instances of residual shunt, noticeable aortic regurgitation, significant arrhythmia, thrombosis, or device failure.</p< <p<Conclusions</p< <p<Minimally invasive transthoracic device closure of perimembranous VSDs is safe and feasible, using a domestically made device under transthoracic echocardiographic guidance, without the need for cardiopulmonary bypass. This technique should be considered an acceptable alternative to surgery or device closure guided by transesophageal echocardiography in selected young children. However, a long-term evaluation of outcomes is necessary.</p<
abstract_unstemmed	<p<Abstract</p< <p<Objectives</p< <p<This study aimed to assess the safety and feasibility of intraoperative device closure of perimembranous ventricular septal defects (VSD) in young children guided by transthoracic echocardiography (TTE).</p< <p<Methods</p< <p<We enrolled 18 patients from our hospital to participate in the study from June 2011 to September 2011. A minimal inferior median incision was performed after full evaluation of the perimembranous VSD by real-time TTE, and a domestically made device was inserted to occlude the perimembranous VSD. The proper size of the device was determined by means of transthoracic echocardiographic analysis.</p< <p<Results</p< <p<Implantation was ultimately successful in 16 patients using TTE guidance. In these cases, the complete closure rate immediately following the operation and on subsequent follow-up was 100%. Symmetric devices were used in 14 patients, and asymmetric devices were used in two patients. Two patient were transformed to surgical treatment, one for significant residual shunting, and the other for unsuccessful wire penetration of the VSD. The follow-up periods were less than nine months, and only one patient had mild aortic regurgitation. There were no instances of residual shunt, noticeable aortic regurgitation, significant arrhythmia, thrombosis, or device failure.</p< <p<Conclusions</p< <p<Minimally invasive transthoracic device closure of perimembranous VSDs is safe and feasible, using a domestically made device under transthoracic echocardiographic guidance, without the need for cardiopulmonary bypass. This technique should be considered an acceptable alternative to surgery or device closure guided by transesophageal echocardiography in selected young children. However, a long-term evaluation of outcomes is necessary.</p<
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container_issue	1, p 166
title_short	Intraoperative device closure of perimembranous ventricular septal defects in the young children under transthoracic echocardiographic guidance; initial experience
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up_date	2024-07-03T20:57:17.980Z
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