Application of the minimally invasive thoracic esophageal closure guided by Echocardiography in congenital heart disease
CHEN De-li
QIN Ming
Abstract：Objective To explore the curative effect of the minimally invasive thoracic esophageal closure guided by Ech‐ocardiography in the treatment of congenital heart disease .Methods In this research group ,68 children with simple con‐genital heart disease underwent echocardiography before operation .Intraoperatively ,the incision ranged 3~4 cm between sternum right next to the fourth rib was performed ,the pericardium was cut and suspensed .Double pouch was formed and cut .Subsequently ,the catheter was inserted into the right heart chamber and entered into the left heart through the de‐fect .The entire monitoring block process with transesophageal echocardiography guided the placement of the closure de‐vice and the immediate effect was evaluated .Results Of those 68 cases of congenital heart disease ,66 cases were success‐fully closured of which 3 cases still had small residual shunting .The remaining 2 cases of atrial septum defect were re‐paired under the extracorporeal circulation .Postoperative follow‐up showed that the closure device were not obviously shif‐ted and fallen off as evidenced by echocardiography and ,also ,obvious abnormal shunt was not found .Conclusion The thoracic esophageal closure guided by Echocardiography is a minimally invasive ,safe and simple modality ,which is well worth for the application in clinic .
Keywords：Minimally invasive thoracic closureOccluderTransesophageal echocardiographyCongenital heart disease
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1358-1360 )