Objective: To evaluate the safety and efficacy of percutaneous closure of the single secundum atrial septal defects (ASD) guided by transthoracic echocardiography (TTE) and/or transesophageal echocardiography (TEE).
Methods: From January, 2014 to December, 2014, thirty-two patients with single secundum ASD from Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, were treated with percutaneous closure of ASD guided by TTE or TEE.
Results: Thirty-two patients underwent ASD closure successfully, except one patient showed trivial residual shunts, which disappeared one month later. The remaining 31 patients were subjected to TTE. At once or at the 1st or 3rd month after the procedure, no ASD migration or residual shunts were observed.
Conclusion: Percutaneous closure of ASD guided by TTE or TEE is a safe and effective surgery method with minimal invasion and can avoid the chest incision and radioscopy.
目的：探讨经胸超声心动图(transthoracic echocardiography，TTE)和/或经食道超声心动图(transesophageal echocardi-ography，TEE)引导下经皮房间隔缺损封堵术的安全性及有效性。方法：选取2014年1—12月福建医科大学附属协和医院心血管外科单纯性继发孔型房间隔缺损患者32例，均在TTE和/或TEE监测下行经皮房间隔缺损封堵术。结果：32例患者全部封堵成功，1例术后即刻TTE复查存在少量残余分流，术后1个月复查示残余分流消失。其余31例患者在术后即刻、1个月、3个月复查TTE，均未见封堵器移位、残余分流等并发症。结论：超声心动图引导下经皮封堵房间隔缺损是一种微创、安全、有效的新型手术方法。.