膜周部室间隔缺损的室周部闭合：特定患者的治疗选择

Periventricular closure of a perimembranous VSD: treatment option in selected patients.

作者信息

Schreiber Christian, Vogt Manfred, Kühn Andreas, Hörer Jürgen, Samprec Jelena, Zhongyun Zhuang, Fengwei Zhang, Lange Rüdiger

机构信息

Department of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany.

出版信息

Thorac Cardiovasc Surg. 2012 Feb;60(1):78-80. doi: 10.1055/s-0032-1301750. Epub 2012 Jan 25.

DOI:10.1055/s-0032-1301750

PMID:22278818

Abstract

Ventricular septal defects (VSDs) are a common congenital heart disease. Usually, surgical repair with cardiopulmonary bypass (CPB) is the treatment of choice, whereas percutaneous techniques have technical limitations, predominantly a mismatch of catheter size and body weight. A 7-year-old girl underwent periventricular closure of a perimembranous VSD on the beating heart. Echocardiography guided implantation through a minimally invasive sternotomy was uneventful. The described approach adds favorably to the current practice avoiding the use of CPB. Cosmetic aspect and rapid early postoperative recovery are convincing.

摘要

室间隔缺损（VSDs）是一种常见的先天性心脏病。通常，体外循环（CPB）下的外科修复是首选治疗方法，而经皮技术存在技术局限性，主要是导管尺寸与体重不匹配。一名7岁女孩在心脏跳动的情况下接受了膜周部室间隔缺损的室周封堵术。通过微创胸骨切开术在超声心动图引导下植入过程顺利。所描述的方法对当前的治疗实践有积极补充作用，避免了使用体外循环。在美观方面和术后早期快速恢复方面令人满意。