Abstract：Objective To evaluate the application value of transesophageal echocardiography (TEE) in
minimally invasive transthoracic closure of congenital heart disease for infants and young children.
Methods A total of 326 cases of infants were received minimally invasive transthoracic closure between
May 2010 and May 2015, among which 319 cases were ventricular septal defect (VSD) and 7 cases were
atrial septal defect (ASD). The four-champer view, the left ventricular long-axis view, the short-axis view
and the right ventricular inflow view were adopted to evaluate the location, size, and the surrounding
anatomy of the defect, as well as to evaluate the immediate closure effect. Results 311 out of the 326
cases were successfully operated, among which 17 cases showed tiny residual left-to-right shunt detected
by TEE during the operation, 16 cases showed emerging slight tricuspid valve regurgitation or worsened
symptoms compared to preoperative condition, 3 cases showed emerging slight aortic valve regurgitation.
Follow-up examination was conducted from 3 month postoperatively to five year postoperatively. No
third degree atrioventricular block were found. Valve regurgitation lessened compared to immediate
postoperative period. Conclusion As a simple and safe monitoring method, TEE can provide real-time
and accurate reflection of the situation of the operation. It plays an important role in minimally invasive
transthoracic closure surgery.
堵术中的应用[J]. 中国医疗设备, 2016, 31(3): 60-62.
WAN Hao, XING Jie-long,
XING Quan-sheng. Application of Transesophageal Echocardiography in Minimally
Invasive Transthoracic Closure of Congenital Heart Disease for
Infants and Young Children. China Medical Devices, 2016, 31(3): 60-62.