[Hybrid procedure for infants/children treatment with pulmonary stenosis under transesophageal echocardiographic guidance].
OBJECTIVE
To investigate the outcomes of hybrid procedure in treating 10 infants/children with pulmonary stenosis under transesophageal echocardiographic guidance.


METHODS
Between September, 2009 and December, 2015, 10 infants/children underwent hybrid procedure of transthoracic balloon pulmonary valvuloplasty for pulmonary stenosis in the Second Xiangya Hospital, Central South University. The age, height and weight at the time of admission were 0.7-42 (14.8±15.8) months, 53-97 (74.8±16.3) cm, and 4-15.5 (9.3±4.1) kg, respectively. Atrial septal defect, patent foramen ovale, patent ductus arteriosus, muscular ventricular septal defect, persistent left superior vena cava and tricuspid regurgitation were found in 2, 6, 1, 2, 1 and 5 cases, respectively.


RESULTS
After the operation, all patients were sent into ICU. The mean duration mechanical ventilation, ICU stay and hospitalization were 0.5-41(6.8±12.3) h, 2-85 (31.1±22.8) h, and 6-20 (11.4±5.1) d, respectively. Postoperative transvalvular pressure gradient reduced to 16-45 (31.1±9.8) mmHg, which was decreased significantly compared with that in preoperative (P<0.001). There was no death during hospitalization and follow-up.


CONCLUSIONS
Hybrid procedure of transthoracic balloon pulmonary valvuloplasty for pulmonary stenosis under transesophageal echocardiographic guidance is a safe and effective treatment.
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Li
L
Xie
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Can
C
Huang
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Sijie
S
Wu
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Wancun
W
Jin
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Lei
L
Gao
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Qin
Q
Wu
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Jinfu
J
Yang
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Zhongshi
Z
Wu
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Tianli
T
Zhao
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Yifeng
Y
Yang
Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Fenglin
F
Song
D002648:Child; D017548:Echocardiography, Transesophageal; D006344:Heart Septal Defects, Atrial; D006345:Heart Septal Defects, Ventricular; D006801:Humans; D007223:Infant; D011666:Pulmonary Valve Stenosis; D016896:Treatment Outcome