A study on eccentric occluder via ultra minimal incision of Double
committed ventricular septal defect
Abstract
Object: To compare the clinical data of sternotomy and left intercostals
incision, combined with the literature, to provide the best surgical
incision for committed subarterial ventricular septal defect(DCS-VSD).
Methods: From July 2016 to July 2020, a total of 117 cases of occlusion
surgeries for DCSVSD, which guided by transoesophagel
echocardiography(TEE) were completed, including 34 cases with sternotomy
incision and 83 cases with left intercostal incision. Statistics and
analysis of the operation and follow-up. Results: 115 cases successfully
occluded, the successful rate was 98.29%, and 1 case failed in each
group. Pericardial effusion occurred in 5 children after the drainage
device was removed, and the pericardial effusion disappeared after
diuretic treatment. There was no statistical difference between the two
groups in operation time, occlusion time, thoracotomy time and
postoperative hospital stay. All the children recovered and were
discharged from the hospital, and were followed up for 2-30 months after
operation. Conclusion: TEE-guided intercostal DCS-VSD occlusion is safe
and effective. There is no statistical difference between two approach
with the operation time, chest opening and closing time, occluder
placing time, and postoperative hospital staying. At the same time, the
surgical incision by intercostal incisionis smaller and the operation
invasion is less, it is a surgical approach which worth to develop.