Hybrid of congenital atrial septal defect surgery in the treatment of.docVIP

 PAGE \* MERGEFORMAT 12 Hybrid of congenital atrial septal defect surgery in the treatment of Of: Wang Jue, Hao Zheng, Liu Yu, Sun Cheng Chao [Abstract] Objective: To evaluate the combination of interventional devices and real-time imaging technology, “hybrid” (hybrid) surgery on the treatment of congenital atrial septal defect. Methods: -2007 hospital in May 2006 on September 17 cases of secondary holes patients with atrial septal defect, in real-time TEE (TEE) monitoring under section 4 through the right intercostal chest minimally invasive chest wall incision atrial septal defect occluder, closure device using fully connected TiNi alloy double umbrella structure. Results: successful closure in 16 patients, 1 case was found too small occluder, closure device for a bigger success, 1 patient with atrial septal defect on the edge of the short edge tear caused after closure, change cardiopulmonary bypass surgery. heart operation time 10 ~ 45 min, an average of 20 min, on postoperative day 1 can get out of bed, 3 ~ 5 d and discharged. follow-up 3 to 20 months, echocardiography (UCG) review showed reduced compared with preoperative heart, occluder was no loss, deformation and residual shunt, heart function. Conclusion: The thoracic small incision surgery of atrial septal defect closure surgical incision is small, safe, simple, low incidence of postoperative complications is a worthy Surgical intervention of new technologies. [Keywords:] hybrid operation; atrial septal defect; closure Traditional concept of “hybrid” heart surgery in 1996 presented by the British scholar Angelini, chest incision to shorten and hidden, to avoid cardiopulmonary bypass technology in recent years minimally invasive cardiac surgery (minimally invasive cardiac surgery, MICS) of the two break , in which the right axillary incision chest heart disease, non-pump coronary artery bypass grafting, all endoscopic robot-assisted cardiac surgery have become the representation of the cur