镶嵌手术进行VSD封堵
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Video Description:该视频演示了为一例4个月、体重为5.7kg的男婴进行镶嵌手术封堵大型肌部室间隔缺损的过程。正中胸骨切开术后,经右室游离壁置入一个8F鞘。在可视化超声心动图引导下植入肌部VSD封堵器Amplatzer(8mm)。这种直接方法对于体型较小的心尖部缺损和血管通路建立困难的患者尤其有帮助。手术持续时间较短,且完成手术的风险较小。
This video demonstrates a hybrid procedure for the closure of a large muscular ventricular septal defect in a 4-month-old boy with a body weight of 5.7 kg. After a median sternotomy, an 8F sheath is placed through the right ventricular free wall. An Amplatzer muscular VSD-occluder (8 mm) is implanted under echocardiographic visualization. This direct approach is very useful in small patients with apical defects and difficult vascular access. The duration of this procedure is short, and it can be accomplished at a low risk.
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