上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (3): 343-.doi: 10.3969/j.issn.1674-8115.2011.03.022

• 论著（临床研究） • 上一篇    下一篇

Occlusion of atrial septal defect utilizing occluder devise via minimally invasive right chest |approach

励 峰1, 李 伟1, 康 宁1, 龚宝生1, 吴东进1, 徐方杰1, 邱兆昆1, 吴卫华2   

  1. 1.Department of Cardiovascular Surgery, 2.Department of Echocardiography, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China
  • 出版日期:2011-03-28 发布日期:2011-03-29
  • 作者简介:励 峰(1969—), 男, 副主任医师, 博士；电子信箱: cardiosh@yahoo.com.cn。

Occlusion of atrial septal defect utilizing occluder devise via minimally invasive right chest |approach

LI Feng1, LI Wei1, KANG Ning1, GONG Bao-sheng1, WU Dong-jin1, XU Fang-jie1, QIU Zhao-kun1, WU Wei-hua2   

  1. 1.Department of Cardiovascular Surgery, 2.Department of Echocardiography, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China
  • Online:2011-03-28 Published:2011-03-29

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摘要：

Objective To evaluate atrial septal defect (ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the fourth right intercostal space. Utilizing transesophageal or transthoracic echocardiography, the occluder was released using a monotube unit. Results All patients were occluded successfully. No patient required open surgery utilizing extracorporeal circulation. There were no major complications and no evidence of residual atrial shunt. Conclusion ASD occlusion via a  minimal surgical incision is safe, less invasive, and has excellent outcomes.

关键词: minimally invasive, atrial septal defect, occluder device

Abstract:

Objective To evaluate atrial septal defect (ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the fourth right intercostal space. Utilizing transesophageal or transthoracic echocardiography, the occluder was released using a monotube unit. Results All patients were occluded successfully. No patient required open surgery utilizing extracorporeal circulation. There were no major complications and no evidence of residual atrial shunt. Conclusion ASD occlusion via a  minimal surgical incision is safe, less invasive, and has excellent outcomes.

Key words: minimally invasive, atrial septal defect, occluder device