A Minimally Invasive Technique for Occluding Large Muscular Ventricular Septal Defects in Infants

被引：5
作者：
Gao, Zibo [1 ]
Wu, Qin [2 ]
Zhao, Tianli [1 ]
Yin, Ni [1 ]
Gao, Lei [2 ]
Xu, Xinhua [2 ]
Xie, Li [1 ]
Yang, Yifeng [1 ]
Yang, Jinfu [1 ]
机构：
[1] Ctr South Univ, Hosp 2, Dept Thorac & Cardiovasc Surg, Changsha 410011, Hunan, Peoples R China
[2] Ctr South Univ, Hosp 2, Cardiovasc Ultrason Dept, Changsha 410011, Hunan, Peoples R China
来源：
CARDIOLOGY | 2014年 / 127卷 / 03期
关键词：
Infants; Ventricular septal defects; Cardiopulmonary bypass; Minimally invasive technique; TRANSCATHETER CLOSURE; DEVICE CLOSURE; CARDIOPULMONARY BYPASS; CHILDREN; PROLAPSE; SURGERY; REPAIR;
D O I：
10.1159/000356429
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Objective: This study investigated the feasibility, timing and indications for closure of large muscular ventricular septal defects (VSDs) in infants without use of a cardiopulmonary bypass. Methods: A total of 9 infants with large muscular VSDs ranging in size from 7 to 15 mm were treated by minimally invasive closure without cardiopulmonary bypass between April 2010 and February 2013. Results: All surgeries were successful without resulting in uncontrolled systemic infection, a pulmonary hypertensive crisis or a severely low cardiac output, and with an apparently shorter operation time and postoperative tracheal cannula. Conclusions: VSD closure without cardiopulmonary bypass can improve the efficacy and prognosis of infants with large muscular VSDs and concurrent pulmonary infections or respiratory failure. (C) 2014 S. Karger AG, Basel
引用
收藏
页码：196 / 202
页数：7
相关论文
共 25 条
[1]   Intraoperative closure of muscular ventricular septal defect in a canine model and application of the technique in a baby [J].
Amin, Z ;
Berry, JM ;
Foker, JE ;
Rocchini, AP ;
Bass, JL .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 115 (06) :1374-1376
[2]  
Arora Rahit, 2003, J Clin Hypertens (Greenwich), V5, P26, DOI 10.1111/j.1524-6175.2003.SuppMakeUp.x
[3]   ROLE OF CYTOKINES IN THE PATHOGENESIS OF CARDIOPULMONARY-INDUCED MULTISYSTEM ORGAN FAILURE [J].
CASEY, LC .
ANNALS OF THORACIC SURGERY, 1993, 56 (05) :S92-S96
[4]  
Castaneda AR, 1994, CARDIAC SURG NEONATE, P187
[5]   Initial results of primary device closure of large muscular ventricular septal defects in early infancy using perventricular access [J].
Crossland, D. S. ;
Wilkinson, J. L. ;
Cochrane, A. D. ;
d'Udekem, Y. ;
Brizard, C. P. ;
Lane, G. K. .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2008, 72 (03) :386-391
[6]   Device closure of muscular ventricular septal defects in infants less than one year of age using the Amplatzer devices: Feasibility and outcome [J].
Diab, Karim A. ;
Cao, Qi-Ling ;
Mora, Bassem N. ;
Hijazi, Ziyad M. .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2007, 70 (01) :90-97
[7]   Ventricular Septal Defect Closure in a Small Children With the Amplatzer Duct Occluder II [J].
El Tahlawi, Mohammad ;
Kammache, Issam ;
Fraisse, Alain .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2011, 77 (02) :268-271
[8]   Evolution of ventricular septal defect with special reference to spontaneous closure rate, subaortic ridge and aortic valve prolapse [J].
Eroglu, AG ;
Öztunç, F ;
Saltik, L ;
Bakari, S ;
Dedeoglu, S ;
Ahunbay, G .
PEDIATRIC CARDIOLOGY, 2003, 24 (01) :31-35
[9]   Perventricular device closure of ventricular septal defects: Six months results in 30 young children [J].
Gan, Changping ;
An, Qi ;
Lin, Ke ;
Tang, Hong ;
Lui, Raphael C. ;
Tao, Kaiyu ;
Pan, Wencheng ;
Shi, Yingkang .
ANNALS OF THORACIC SURGERY, 2008, 86 (01) :142-146
[10]   Transcatheter closure of perimembranous ventricular septal defects using the amplatzer membranous VSD occluder: Immediate and midterm results of an international registry [J].
Holzer, Ralf ;
de Giovanni, Jo ;
Walsh, Kevin P. ;
Tometzki, Andrew ;
Goh, T. H. ;
Hakim, Fakhri ;
Zabal, Carlos ;
de Lezo, Jose Suarez ;
Cao, Qi-Ling ;
Hijazi, Ziyad M. .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2006, 68 (04) :620-628
123