Transthoracic Device Closure, Transcatheter Device Closure, and Surgical Repair via Right Submammary Thoracotomy for Restrictive Ventricular Septal Defect, a Respective Comparative Study

被引:15
作者
Chen, Qin [1 ]
Wu, Wei-Xiong [2 ]
Huang, Jiang-Shan [2 ]
Chen, Liang-Wan [2 ]
Fang, Guan-Hua [2 ]
机构
[1] Fujian Med Univ, Union Hosp, Dept Cardiol, Fuzhou, Fujian, Peoples R China
[2] Fujian Med Univ, Union Hosp, Dept Cardiovasc Surg, Fuzhou 350001, Fujian, Peoples R China
关键词
congenital heart diseases; ventricular septal defect; surgery; submammary thoracotomy; ATRIOVENTRICULAR-BLOCK; OUTCOMES;
D O I
10.1080/08941939.2019.1645247
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Few comparative studies have focused on the advantages and disadvantages of transthoracic device closure, transcatheter device closure, and surgical repair via right submammary thoracotomy for restrictive ventricular septal defect (VSD). In this article, we compared the safety, efficacy, and clinical effects of these three treatments. Methods: The clinical data of 192 pediatric patients with a restrictive VSD in our hospital from January 2017 to May 2018 were retrospectively collected and analyzed. According to the different treatments, the patients were divided into three groups (the surgical and device groups). Results: There was no significant difference in the demographic characteristics, VSD size, mean pulmonary artery pressure, or cardiothoracic ratio. In addition, there were significant differences in the duration of mechanical ventilation, operation, hospitalization, and ICU stay between the two device groups and the surgical group, but there were no significant differences between the two device groups. Conclusions: Transthoracic device closure, transcatheter device closure, and surgical repair via right submammary thoracotomy for restrictive VSD repair are all safe and feasible. These three treatments have their own disadvantages and advantages and should be selected according to individual patients.
引用
收藏
页码:467 / 472
页数:6
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