Abstract:
BACKGROUND:A hybrid approach to minimally invasive perventricular closure of VSD in infants is safe and effective, and has been performed under guidance of transesophageal echocardiography (TEE). We applied transthoracic echocardiographic (TTE) guidance to this hybrid approach, and compare results guided by TTE with those by TEE. METHODS:From January 2011 to January 2012, 71 infants with VSD were enrolled to undergo a minimally invasive device closure. After evaluation of VSD by TTE, either TEE or TTE was used to guide the minimally invasive device closure. 30 patients had TEE guidance, and 41 patients had TTE. All patients were followed for 3 months after the operation. RESULTS:The TEE group had a success rate of 93.3% (28/30) for device implantation, compared with 92.7% (38/41) in the TTE group. Two patients in the TEE group turned to surgical closure, one for involvement of the inlet area of VSD demonstrated by TEE, another for moderate aortic regurgitation after device implantation. Two patients in the TTE group also transferred to surgical closure, one for residual shunt, another for failure of the floppy wire across the defect. In addition, one patient in the TTE group experienced dropout of the occluder one day postoperatively. At 3-month follow-up, one patient had mild aortic regurgitation in the TEE group and in two patients in the TTE group. There were no episodes of cardiac block, thromboembolism, or device displacement in either group. CONCLUSIONS:TTE-guided VSD closure is feasible in infants, with results similar to those of TEE guidance, although caution is advisable.
journal_name
Cardiovasc Ultrasoundjournal_title
Cardiovascular ultrasoundauthors
Zhang GC,Chen Q,Cao H,Chen LW,Yang LP,Chen DZdoi
10.1186/1476-7120-11-8subject
Has Abstractpub_date
2013-03-11 00:00:00pages
8issn
1476-7120pii
1476-7120-11-8journal_volume
11pub_type
杂志文章abstract::This review article summarizes the results of histopathological studies to assess heart failure in humans. Different histopathological features underlying the clinical manifestations of heart failure are reviewed. In addition, the present role of echocardiographic techniques in assessing the failing heart is briefly s...
journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,评审
doi:10.1186/1476-7120-5-5
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journal_title:Cardiovascular ultrasound
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doi:10.1186/1476-7120-9-9
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
doi:10.1186/1476-7120-9-8
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pub_type: 杂志文章
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journal_title:Cardiovascular ultrasound
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,评审
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journal_title:Cardiovascular ultrasound
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journal_title:Cardiovascular ultrasound
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doi:10.1186/1476-7120-10-12
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pub_type: 杂志文章
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章
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journal_title:Cardiovascular ultrasound
pub_type: 杂志文章,评审
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journal_title:Cardiovascular ultrasound
pub_type: 临床试验,杂志文章
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