术中应用Amplatzer封堵器关闭婴儿多发性肌部室间隔缺损

Intraoperative closure of infant multiple muscular ventricular septal defects with Amplatzer occluder.

目的报道1例小婴儿肌部多发性室间隔缺损(VSD)术中镶嵌治疗的初步经验。方法正中胸骨切口开胸,在食管超声的导引下,在跳动心脏的右心室表面导入Amplatzer封堵器关闭2处肌部VSD。结果成功封堵2处肌部VSD,术后恢复顺利。结论将手术和介入治疗结合的镶嵌治疗小婴儿肌部VSD是一种安全、有效的方法。

Objective To report the preliminary experience of intraoperative hybrid therapy for closure of multiple muscular ventricular septal defects（VSD）in a small infant. Methods After median sternotomy, a AGA Amplatzer occluder was introduced through right ventricular surface to close 2 muscular ventricular septal defects under transesophageal echocardiographic guidance. Results The infant survived after the treatment without residual shunting, and rehibilitated rapidly. Conclusions Intraoperative hybrid therapy with combined surgical technique and interventional procedure for closure of multiple muscular VSD in small infant is a safe and effective method. （J Intervent Radiol, 2005,4 ： 344-345. ）