介入封堵在治疗室间隔缺损修补术后残余漏上的疗效

Effects of interventional procedures on congenital ventricular septal defect residual shunt

摘要: 目的:探讨介入封堵治疗室间隔缺损（VSD）修补术后残余漏的方法与疗效。方法：全组18例，年龄3～46（14±11）岁。残余漏大小3～8（42±15） mm。通过建立轨道法，封堵VSD术后残余漏，封堵15 min后行左心室造影，术后1 d及3个月行超声心动图检查，观察封堵效果。结果：全组18例VSD修补术后残余漏患者，除1例因残余漏直径过大,1例因建立轨道困难，封堵未成功外，余均治愈。结论：介入治疗VSD修补术后残余漏疗效满意、可靠。

Abstract: AIM:To assess the effect of interventional procedure on residual shunt after surgical repair of ventricular septal defect. METHODS: Eighteen patients (aged 3-46 years, mean age 135±110 years) were included in the study. Diameter of the residual shunt was 3-8 mm ［mean (421±148) mm］. Residual shunts were closed by building orbit. Contrast examinations of the left ventricle were performed to evaluate the immediate results 15 min after the closure and echocardiography was performed 1 day and 3 months after the closure to decide whether there was residual. RESULT: Except for two cases (one case with too large of a diameter of residual shunt and one case with difficulty of building orbit), the interventional procedure was successful in the other 16 cases. CONCLUSIONS: Transcatheter closure of postoperative septal residual is safe and effective.