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Research article
Yuhang Liu
Dalian Children's Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4548-8324
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Hybrid technology has become a hot topic in cardiovascular surgery,has been widely used in the minimally invasive closure of simple coronary heart diseases (CHDs). For some children with special CHDs, it is still impossible to avoid the huge trauma caused by cardiopulmonary bypass. This study aimed to investigate the feasibility、safety and efficacy of hybrid technology in the treatment of several specific CHDs.
Methods
A total of 29 children with specific CHDs hospitalised in the Cardiac Surgery Department of Dalian Children’s Hospital from July 2014 to June 2019 were enrolled. There were 2 cases of right coronary artery-right ventricular fistula, 17 cases of neonatal critical pulmonary stenosis (CPS), 9 cases of neonatal pulmonary atresia-intact ventricular septum (PA/IVS), and 1 case of giant aortopulmonary window (APW). All of them underwent surgical treatment with hybrid technology guided by transoesophageal echocardiography (TEE). The TEE enabled immediate evaluation of the surgical curative effect. Further chest X-ray, electrocardiogram (ECG) and echocardiogram were performed in the outpatient department after discharge.
Results
The surgical treatment with hybrid technology was smooth except that 1 CPS patient was converted to open-heart surgery with cardiopulmonary bypass (CPB) due to a torn right ventricular outflow tract after balloon dilatation. No complication, such as wound or intracardiac infection, arrhythmia or pericardial effusion occurred. No children have been lost to follow-up and the investigation results and prognosis remain satisfactory.
Conclusions
the use of hybrid technology is a safe and effective alternative therapy for specific paediatric CHD cases. It has significant advantages in alleviating trauma and reducing medical costs and, therefore, has good prospects for broad application in the future.
Keywords
Hybrid technology, Congenital heart disease, Paediatric, Transesophageal echocardiography
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research article
Yuhang Liu
Dalian Children's Hospital
Corresponding Author
ORCiD: https://orcid.org/0000-0002-4548-8324
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 30 Jun, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Hybrid technology has become a hot topic in cardiovascular surgery,has been widely used in the minimally invasive closure of simple coronary heart diseases (CHDs). For some children with special CHDs, it is still impossible to avoid the huge trauma caused by cardiopulmonary bypass. This study aimed to investigate the feasibility、safety and efficacy of hybrid technology in the treatment of several specific CHDs.
Methods
A total of 29 children with specific CHDs hospitalised in the Cardiac Surgery Department of Dalian Children’s Hospital from July 2014 to June 2019 were enrolled. There were 2 cases of right coronary artery-right ventricular fistula, 17 cases of neonatal critical pulmonary stenosis (CPS), 9 cases of neonatal pulmonary atresia-intact ventricular septum (PA/IVS), and 1 case of giant aortopulmonary window (APW). All of them underwent surgical treatment with hybrid technology guided by transoesophageal echocardiography (TEE). The TEE enabled immediate evaluation of the surgical curative effect. Further chest X-ray, electrocardiogram (ECG) and echocardiogram were performed in the outpatient department after discharge.
Results
The surgical treatment with hybrid technology was smooth except that 1 CPS patient was converted to open-heart surgery with cardiopulmonary bypass (CPB) due to a torn right ventricular outflow tract after balloon dilatation. No complication, such as wound or intracardiac infection, arrhythmia or pericardial effusion occurred. No children have been lost to follow-up and the investigation results and prognosis remain satisfactory.
Conclusions
the use of hybrid technology is a safe and effective alternative therapy for specific paediatric CHD cases. It has significant advantages in alleviating trauma and reducing medical costs and, therefore, has good prospects for broad application in the future.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
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