TAILIEUCHUNG - Báo cáo y học: "Intraoperative device closure of atrial septal defects in the Older Population"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Intraoperative device closure of atrial septal defects in the Older Population. | Zhang et al. Journal of Cardiothoracic Surgery 2011 6 123 http content 6 1 123 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Intraoperative device closure of atrial septal defects in the Older Population Hui Zhang Qiang Chen Liang-Wan Chen Hua Cao Gui-Can Zhang and Dao-Zhong Chen Abstract Objective This study sought to prove the safety and feasibility of intraoperative device closure of atrial septal defect ASD with transthoracic minimal invasion in the older patients. Methods From January 2006 to December 2009 47 patients aged 50 years or more and suffered from atrial septal defect were enrolled in our institution. Patients were divided into two groups 27 of which in group I with intraoperative device closure and the other 20 in group II with surgical closure. In group I the method involved a minimal intercostal incision which was performed after full evaluation of the atrial septal defect by transthoracic echocardiography and the insertion of the device through the delivery sheath to occlude the atrial septal defect. Results In group I implantation was ultimately successful in all patients. The complete closure rate at 24 hours and 1 year were and 100 respectively. In 6 of 27 patients minor complications occurred transient arrhythmia n 5 and blood transfusion n 3 . In group II all patients were closured successfully almost all of them needed blood transfusion and suffered from various minor complications though. During a follow-up period of 1 to 5 years no residual shunt noticeable mitral regurgitation significant arrhythmias thrombosis or device failure were found. In our comparative studies group II had significantly longer ICU stay and hospital stay than group I p . The cost of group I was less than that of group II p . Conclusions Minimally invasive transthoracic device closure of the atrial septal defect at advanced age with a domestically made device without cardiopulmonary bypass is safe .

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