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Value of transesophageal echocardiography in device closure of perimembranous ventricular septal defects in children via an ultraminimal intercostal incision
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  • Jin Yu,
  • Jing Ye,
  • Zewei Zhang,
  • Xiuzhen Yang,
  • Lianglong Ma,
  • Jingjing Qian,
  • Lei Zhao,
  • Qiang Shu
Jin Yu
Zhejiang University School of Medicine Children's Hospital
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Jing Ye
Zhejiang University School of Medicine Children's Hospital
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Zewei Zhang
Zhejiang University School of Medicine Children's Hospital
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Xiuzhen Yang
Zhejiang University School of Medicine Children's Hospital
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Lianglong Ma
Zhejiang University School of Medicine Children's Hospital
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Jingjing Qian
Zhejiang University School of Medicine Children's Hospital
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Lei Zhao
Zhejiang University School of Medicine Children's Hospital
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Qiang Shu
Zhejiang University School of Medicine Children's Hospital
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Abstract

Object: Investigate the value of transesophageal echocardiography (TEE) in perimembranous ventricular septal defect (PmVSD) closure via a left parasternal ultra‐minimal trans intercostal incision in children. Methods: From January 2015 and December 2020, 212 children with PmVSD were performed device occlusion via an ultraminimal intercostal incision. TEE is used throughout the perioperative period, including TEE assessment, TEE-guided localization of the puncture site, TEE guidance. All patients were followed up using transthoracic echocardiography for over 6 months. Results: A total of 207 cases successfully occluded, the successful rate was 97. 64%. one hundred and forty-five patients had single orifice, and 62 patients had multiple orifices in the AMS. During the operation, the surgeon readjusted the device or replaced the larger device in 17 cases. After operation, there were 19 cases of slight residual shunts, 13 cases of pericardial effusion and 4 cases of pleural effusion. And all were back to normal during the 4- month follow-up period. Mild mitral regurgitation was presented in 1 patient and remained the same during the follow-up period. No other complications were found. Conclusions: TEE was used to evaluate and determine the defect in PmVSDs with an concentric occluder via a left parasternal ultra‐minimal trans intercostal incision. TEE guidance and immediate postoperative efficacy evaluation are of great value, which can effectively guide the treatment of PmVSD occlusion.

Peer review status:ACCEPTED

25 Sep 2021Submitted to Journal of Cardiac Surgery
27 Sep 2021Submission Checks Completed
27 Sep 2021Assigned to Editor
27 Sep 2021Reviewer(s) Assigned
13 Oct 2021Review(s) Completed, Editorial Evaluation Pending
13 Oct 2021Editorial Decision: Revise Major
26 Oct 20211st Revision Received
26 Oct 2021Assigned to Editor
26 Oct 2021Submission Checks Completed
26 Oct 2021Reviewer(s) Assigned
09 Nov 2021Review(s) Completed, Editorial Evaluation Pending
09 Nov 2021Editorial Decision: Revise Minor
21 Nov 20212nd Revision Received
22 Nov 2021Submission Checks Completed
22 Nov 2021Assigned to Editor
22 Nov 2021Reviewer(s) Assigned
07 Dec 2021Review(s) Completed, Editorial Evaluation Pending
07 Dec 2021Editorial Decision: Accept