Summary of Experiences & Result of Transesophageal Ultrasound Guided
Ventricular Septal Defect and Atrial Septal Defect Closure Operation
Abstract
Analysis conducted by using Transophageal Echocardiography to monitor
the therapeutic effect of closure of Ventricular Septal Defect and
Atrial Septal Defect.The clinical data of 928 patients for closure
operation of transthoracic, percutaneous Ventricular Septal Defect (VSD)
and Atrial Septal Defect (ASD) guided by transesophageal ultrasound was
retrospectively analyzed for the Department of Cardiac Macrovascular
Surgery, the First Affiliated Hospital of Nanchang University between
August,2009 and August, 2019 .There were 552 cases of VSD and 376 cases
of ASD and 478 males and 450 females, with age distribution ranging from
4 months to 74 (8.64±2.42) years old, and body mass distribution ranging
from 8 to 56 (23.32±12.26) kg.Result:Closure operation conducted turned
out a successful one for the whole group of patients without any
casualty cases and a tally of 907 were successful (97.7%.Out of 552 VSD
patient in the group 540 were treated successfully with the
transthoracic closure approach and 12 cases required extracorporeal
circulation after failure of the transthoracic approach.Among the 256
cases, the patients with ASD was treated by transthoracic closure
approach, 251 successful cases , 2 cases failed and 3 shedding cases.
Besides, 120 percutaneous closure cases is carried out with 116
successful cases,2 failing cases and 2 shedding cases. Post-operation
follow-up was conducted for the patients with successful closure
operations,which demonstrated that complications of aortic and tricuspid
regurgitation, hydro-pericardium,Ⅲºatrioventricular block, shedding of
closure umbrella, hemolysis and thrombus had not occured. Intraoperative
blood loss was 15ml-35ml (23.64±4.26), postoperative ventilator using
time was 2h-10h(4.76±0.33), and hospital stay was 4d-10d(6.43±1.26)