Abstract: 【Abstract】〓Objective〓To explore the value of echocardiography in minimal invasive occlusion of atrial septal defect (ASD). Methods〓Forty-three patients with ASD were admitted in Qingyuan People's Hospital between July 2013 and December 2014, which were confirmed by TTE. Of them, 31 cases were screened and underwent minimal invasive occlusion surgery. TEE was used for guiding and monitoring in occluding procedure, and TTE was also used for postoperative follow-up. Results〓Thirty-one patients got successful occlusion guided by TEE. There were no postoperative complications. One 3- mm residual shunt in one patient was found in followed-up at 3 months after operation. Conclusion Echocardiography plays an important role in screening ASD cases before the minimal invasive occlusion, real-time monitoring during the occlusion, and evaluating effect after occlusion.

Key words: Echocardiography, Atrial septal defect, Minimal invasive occlusion

摘要： 【摘要】〓目的〓探讨超声心动图在经胸微创房间隔缺损(ASD)封堵术中的临床应用价值。方法〓在本院2013年7月至2014年12月经胸超声心动图(TTE)诊断的房间隔缺损患者43例中,筛选适合进行经胸微创房间隔缺损封堵术病例31例,术中采用经食道超声心动图(TEE)监测引导封堵过程,术后采用TTE随访评价疗效。结果〓31例ASD患者在TEE引导下行经胸微创封堵治疗,全部封堵成功,术后无并发症。随访3个月仅1例出现3 mm残余分流。结论〓超声心动图对经胸微创ASD封堵术的术前病例筛选、术中监测引导和术后疗效评价具有重要作用。

关键词: 超声心动图, 房间隔缺损, 微创封堵术