Perpulmonary Device Closure of Patent Ductus Arteriosus with Minimum Diameter More Than 4 mm in Infants
作者机构：Department of Cardiovascular SurgeryShandong Qianfoshan HospitalCheeloo College of MedicineShandong UniversityJinanChina Department of Cardiovascular and Thoracic SurgeryThe National Heart HospitalLusakaZambia
出 版 物：《Congenital Heart Disease》 (先天性心脏病（英文）)
年 卷 期：2022年第17卷第4期
页 面：437-445页
核心收录：
学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 100202[医学-儿科学] 0703[理学-化学] 0702[理学-物理学] 1009[医学-特种医学] 10[医学]
基 金：Cheeloo College of Medicine of Shandong University
主 题：Patent ductus arteriosus perpulmonary device closure transesophageal echocardiography infant minimally invasive surgery
摘 要：Background:Closure of large patent ductus arteriosus(PDA)in older children has been accomplished using surgical and percutaneous techniques with remarkable ***,outcomes amongst infants have been variable with several *** we describe a novel minimally invasive technique,a product of mini-thoracotomy and traditional percutaneous technique skills,accomplished exclusively under echocardiography ***:Symptomatic infants with a significant left-to-right shunt from PDA measuring more than 4 mm were *** symptoms were varying degrees of tachypnea,tachycardia,heart failure,failure to thrive,recurrent respiratory tract infections,or intensive care unit treatment for a longer *** a left parasternal mini-thoracotomy,two parallel purse-string sutures were placed on the pulmonary *** purse-string circle puncture,under exclusively transesophageal echocardiography guidance,a device secured to the safety-suture was implanted on the ascending aorta via pulmonary trunk using a specially designed *** safety-suture prevented device migration in case of *** basic demographics,PDA size,device size and type,intrapulmonary manipulation time,operation time,PDA parameters(length,diameter,type of duct),redeployment of the device,residual shunt,and retention of safety-suture were all recorded and *** follow-up was done with transthoracic echocardiography on the 2^(nd)postoperative day,1,3,6,and 12 months,and yearly ***:Fifty-two infants with a mean age of 8 months±2.8 months(Interquartile range=0)underwent Perpulmonary device closure of *** PDA occlusion was accomplished event-free in all *** mean PDA,mean device,and mean operation time were 5.6 mm±1.4 mm,7.9 mm±1.7 mm,and 61.2 min±12.9 min,*** immediate acceptable residual shunt was noted among 3 subjects and disappeared at a 1-month *** infants had retained safety-suture for added ***
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