Minimally Invasive Surgery of atrial septal defect occlusion by echocardiography.docVIP

 PAGE \* MERGEFORMAT 12 Minimally Invasive Surgery of atrial septal defect occlusion by echocardiography Of: Zhang Guican, Chen Liang Wan, Qiu Han Fan, Cao Hua, CHEN Dao in [Abstract] Objective To evaluate echocardiography in minimally invasive surgical closure of atrial septal defect. METHODS 158 patients with preoperative diagnosis of patients with secundum atrial septal defect, defect diameter 10 ~ 42 mm. To take the right chest 2 to 3 cm long incision, transesophageal echocardiography guided by the conveyor into the umbrella closure of atrial septal defect closure. Results 153 cases of successful surgical closure, echocardiographic follow-up in March, occluder no shift, no residual leak . Conclusion Echocardiography minimally invasive closure of atrial septal defect plays an indispensable role. [Keywords:] atrial septal defect surgery minimally invasive surgery echocardiography Atrial septal defect (atrial septal defect, ASD) is a common congenital heart disease, conventional treatment of surgical repair is the classic treatment. With the development of interventional therapy, double-disc nitinol occluder closure ASD also become an effective treatment for ASD closure by catheter to carry out a lot of experience has been accumulated, but the surgery was minimally invasive ASD closure device is closed off [14]. I reported in January 2002 -2007 minimally invasive surgery in December transcatheter therapy in the treatment of 158 patients with ASD. 1 Subjects and methods 1.1 Object 158 cases, male 93 cases, 65 cases of women, age (27.3 + -25.1) years (2 to 67 years), body mass (25.8 + -18.3) kg (10 ~ 65 kg. Preoperative ultrasound diagnosis of all patients for the simple secundum ASD, defect diameter 10 ~ 42 mm, no complicated with right ventricular outflow tract obstruction, pulmonary venous drainage and other deformities. electrocardiogram frequent atrial premature beats ?p ?p paroxysmal supraventricular tachycardia with right bundle branch b