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Experience with percardiac interventions for multiple congenital heart diseases in children

Shijun Hu1, Yifeng Yang1, Yun Zhu1

  • 1Department of Cardiothoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.

Interactive Cardiovascular and Thoracic Surgery
|July 18, 2014
PubMed

Insights

Percardiac interventions offer a feasible approach for treating children with multiple congenital heart defects, showing satisfactory outcomes. Further research is needed to confirm long-term safety and effectiveness compared to traditional methods.

Area of Science:

  • Pediatric Cardiology
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Multiple congenital heart diseases (CHDs) in children often require complex management strategies.
  • Minimally invasive techniques are increasingly explored as alternatives to conventional open-heart surgery for CHDs.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of percardiac interventions in pediatric patients with multiple CHDs.
  • To report initial experience with percardiac device closure and balloon valvuloplasty for various CHD combinations.

Main Methods:

  • A cohort of 64 pediatric patients with multiple CHDs underwent attempted percardiac interventions between April 2010 and December 2013.
  • Procedures included device closure for ventricular septal defects (VSDs), atrial septal defects (ASDs), patent ductus arteriosus (PDA), and balloon valvuloplasty for pulmonary stenosis (PS).
  • Interventions were performed via a mini-incision in the inferior sternum.

Main Results:

  • Successful occlusion was achieved in 92% (59/64) of patients; 8% (5/64) required conversion to open-heart surgery.
  • A total of 111 devices were implanted (average 1.88 devices/patient) with no severe complications reported.
  • Minor complications included incomplete right bundle branch block (8%), transient trivial valve regurgitation (2%), and pericardial effusion (2%).

Conclusions:

  • Percardiac intervention is a feasible and satisfactory treatment option for children with multiple CHDs.
  • Long-term follow-up and expanded experience are essential to fully assess the safety and efficacy of these minimally invasive procedures.
Abstract

Keywords:
ChildrenCongenital heart diseasesPercardiac intervention

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