Outcomes of Transcatheter Closure in Outlet-Type Ventricular Septal Defect after 1 Year

作     者：Supaporn Roymanee Nantawan Su-angka Worakan Promphan Kanjarut Wongwaitaweewong Jirayut Jarutach Rujira Buntharikpornpun Pimpak Prachasilchai 

作者机构：Department of PaediatricsDivision of Paediatric CardiologyFaculty of MedicinePrince of Songkla UniversitySongkhla90110Thailand Department of Medical ServicesPaediatric Heart CentreQueen Sirikit National Institute of Child HealthMinistry of Public HealthBangkok10400Thailand College of MedicineRangsit UniversityBangkok10200Thailand 

出 版 物：《Congenital Heart Disease》 (先天性心脏病（英文）)

年 卷 期：2023年第18卷第2期

页      面：169-182页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Outlet ventricular septal defect aortic valve prolapse aortic regurgitation transcatheter closure outcome intervention 

摘      要：Background:Ventricular septal defect(VSD)is the most common congenital heart *** VSD closure is an effective treatment for patients with muscular and perimembranous ***,there is a limit data for outlet VSD,especially impact to the aortic valve leaflet after transcatheter *** study aims to assess the outcomes of transcatheter closure of the outlet-type ventricular septal defect(OVSD)after 1 postoperative ***:A retrospective study was performed including 50 patients who underwent transcatheter(n=25)and surgical(n=25)OVSD closure during the exact time frame at two medical ***:The median age and body weight of patients in the transcatheter group were significantly higher than those of patients in the surgical group(7.0 vs.2.8 years;27.0 vs.11.4 kg;p0.01).The defect size in the surgical group was significantly larger than that in the transcatheter group(5.0 vs.3.0 mm;p0.01).All OVSD patients have successful transcatheter closure(100%)as effective as surgical *** than small residual shunt was present 20%and 8%immediately after the procedure in the transcatheter and surgical groups(p=0.50),which decreased to 12%and 4%at the 1-year follow-up(p=0.61),*** incidence of complete atrioventricular block and other complications was observed in both groups,and no significant differences were noted in the new onset or worsening of the aortic regurgitation in both groups(p=1.0).Conclusions:Transcatheter treatment could be effectively and safely achieved for OVSD closure at 1-year follow-up.