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
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Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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- 1. 赵烨, 谢涌泉, 潘湘斌, 等. 经胸超声心动图引导下经皮介入治疗儿童心脏复合畸形的安全性和有效性. 中华心血管病杂志, 2018, 46(10): 804-809.
- 2. 刘宇航, 高明磊, 康永明, 等. 经胸微创介入术治疗小儿先天性心脏病复合畸形的疗效. 中华实用儿科临床杂志, 2018, 33(13): 1018-1021.
- 3. 潘湘斌, 欧阳文斌, 李琦. 经外科途径先天性心脏病介入治疗技术质量控制和进展报告. 中国循环杂志, 2020, 335(10): 955-959.
- 4. 卢绪宁, 刘启龙, 刘大为, 等. 心外膜超声心动图在肌部室间隔缺损镶嵌治疗中的应用价值. 中华医学超声杂志(电子版), 2020, 17(2): 150-152.
- 5. 杨滔, 赵广智, 张凤文, 等. 单纯经胸超声心动图引导下经皮卵圆孔未闭封堵术的临床研究. 中国循环杂志, 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. 崔亚洲, 翟波, 刘垚, 等. 单纯超声心动图引导下经皮房间隔封堵术的临床研究. 现代诊断与治疗, 2017, 27(2): 1898-1900.
- 10. 吴澄, 钟小梅. 超声引导下经皮及经胸房间隔缺损封堵术的对比研究. 临床医药实践, 2018, 27(3): 180-182.
