Application of transesophageal echocardiography in surgical micro-invasive congenital heart disease occlusion
Liu Huiruo
Zhao Wenzeng
Wen Bing
Zhang Ruifang
Hua Shaohua
Gao Ke
Sun Mengjiao
Yin Jing
Abstract：Objective To discuss the the application value of transesophageal echoxardiography (TEE) in surgical micro-invasive congenital heart disease (CHD) occlusion.Methods 298 patients with CHD were performed micro-invasive occlusion guided by transesophageal echocardiography (TEE) , including 172 cases with secondary ASD that were given transthoracic minimal invasive closure, 34 cases with secondary ASD that were given percutaneous closure, 63 cases with VSD that were given transthoracic minimal invasive closure, and 29 cases given closure of patent ductus arteriosus (PDA) with open-heart diorthosis aided by extracorporeal circulation.All patients were followed up regularly by thransthoracic echocardiography 3 days, 3 months, 6 months, and one year after operation.Results For 172 cases with secondary ASD that were given transthoracic minimal invasive closure, except for 13 cases of them that were later given open-heart diorthosis aided by extracorporeal circulation, others were successfully closed.For 34 cases with secondary ASD that were given percutaneous closure, 27 cases were successfully closed and 7 cases were successfully closed through transthoracic minimal invasive closure instead.For 63 cases with VSD that were given transthoracic minimal invasive closure, 7 cases were operated by open-heart diorthosis aided by extracorporeal circulation instead.For 29 cases patients with PDA, Fallot tetralogy occurred in 11 cases, pulmonary artery valvular stenosis occurred in 7 cases and partial endocardial cushion defect occurred in 11 cases;the PDA symptoms were successfully occluded guided by TEE and the interatrial and ventricular shunt were not found after operation.During the one year's follow-up after operation, the complications related to closure devices were not found.Conclusion TEE can effectively guide the surgical micro-invasive occlusion for patients with CHD.
Keywords：congenital heart diseasetransesophyageal echocardiaographymicro-invasive surgical occlusion
Publication Date：2017-01-01
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：3( 405-407 )