Yi Hanlu,Ye Zankai,Zhu Yaobin,et al.Treatment of patent ductus arteriosus in children through small axillary incision by esophageal echocardiography-guided only[J].Journal of Clinical Pediatric Surgery,,22():737-740.[doi:10.3760/cma.j.cn101785-202208014-007]
Treatment of patent ductus arteriosus in children through small axillary incision by esophageal echocardiography-guided only
- Keywords:
- Ductus Arteriosus; Patent; transesophageal echocardiography; Septal Occluder Device; Cardiac Surgical Procedures; Treatment Outcome; Child
- Abstract:
- Objective To explore the safety, effectiveness and feasibility of patent ductus arteriosus (PDA) occlusion in children under the guidance of transesophageal echocardiography (TEE) via a small left axillary incision.Methods Clinical data were retrospectively reviewed for 40 PDA children between March 2018 and December 2021.There were 13 boys and 27 girls with an age range of 1.09(0.60-1.75) years and a body weight of 9(7.20-10.50) kg.Simple esophageal heart ultrasound-guided small incision was performed in left axilla for PDA closure.Return to the intensive care unit after the operation for symptomatic treatment and, if necessary, cardiotonic and diuretic treatment.Both echocardiogram and electrocardiogram were examined immediately, Month 1 post-operation and Month 3-6 post-operation for evaluating the treatment outcomes.Results The occluder was successfully implanted in all children.At Month 3 post-operation, occluder was displaced in one child without any obvious discomfort.The occluder was removed, arterial catheter withdrawn and skin sutured.In the remainders, follow-up cardiac color Doppler ultrasound and electrocardiogram indicated that the position of occluder was excellent and internal diameter of each atrium was basically normal.There were no complications such as residual shunt, pericardial effusion or arrhythmia.Conclusion It is safe and effective to occlude PDA with a small left axillary incision under the sole guidance of esophageal echocardiography in children.Such an approach is also suitable for young and underweight children with thick PDA.It offers the advantages of minimal trauma, faster recovery and fewer complications.
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Memo
收稿日期:2022-08-06。
基金项目:北京市医院管理中心儿科学科协同发展中心专项经费资助（XTYB201819）
通讯作者:李志强,Email:lizhiqianganzhen@yeah.net