Articles Vol. 66 No. CĐ2-NCKH 24/03/2025

4. RESEARCH ON THE APPLICATION OF PERCUTANEOUS CARDIOVASCULAR INTERVENTION METHOD IN TREATMENT OF CONGENITAL HEART DISEASE WITH LEFT - RIGHT SCHEDULE AT THANH HOA CHILDREN'S HOSPITAL IN 2018-2019

Ha Hoang Minh1,2, Pham Thi Phuong1,2, Le Anh Minh1,2
1 Thanh Hoa Pediatric Hospital
2 Bệnh viện Nhi Thanh Hóa
Corresponding author: minhbvnhi@gmail.com
DOI: 10.52163/yhc.v66iCĐ2.2187
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Keywords
Percutaneous cardiovascular intervention congenital heart left - right shunt
Abstract

disease with left - right shunt at Thanh Hoa Pediatric Hospital in 2018-2019.

Research methods: Describe the prospective study with comparison before and after intervention in patients with congenital heart disease with left - right shunt treated with percutaneous intervention at Thanh Hoa Pediatric Hospital from June 2018 to April 2020.

Results: There were 56 patients (21 men and 35 women), aged from 3.4 to 195.7 months, including: 12 patients with ventricular septal defect, 10 patients with atrial septal defect, 33 patients with patent ductus arteriosus and 1 patient with left aorta left window. The average ostium size on echocardiography was 4.7 mm. Common clinical symptoms are: difficulty breathing (6.8%), chest deformity (14.3%), slow weight gain (50%), heart murmur (85.7%). 100% success rate, no complications or death. The residual shunt rate after 24-hour intervention is 26.8%, after 1 month is 8.9% and after 3 months is 0%.

Conclusions: Percutaneous cardiovascular intervention to treat congenital heart diseases with left - right shunt is a new, feasible, safe technique with a high success rate (100%).

References
[1]
Phạm Nguyễn Vinh, Bệnh tim bẩm sinh, Bệnh học tim mạch II, Nhà Xuất bản Y học, Hà Nội, 2008, tr. 374-388. Google Scholar
[2]
Nguyễn Công Khanh, Bệnh tim bẩm sinh không tím có luồng thông trái - phải, Nhi khoa, Nhà Xuất bản Y học, Hà Nội, 2016, tr. 485-487. Google Scholar
[3]
Oscar J Benavidez, Gauvreau, Kimberlee, Del Nido, Pedro, Complications and risk factors for mortality during congenital heart surgery admissions, The Annals of thoracic surgery, 2007, 84 (1), p. 147-155. Google Scholar
[4]
Porstmann W, Wierny L, Warnke H, The closure of the patent ductus arteriosus without thoractomy (preliminary report), Thoraxchirurgie, vaskulare Chirurgie, 1967, 15 (2), p. 199. Google Scholar
[5]
Yun-Ching Fu, Transcatheter device closure of muscular ventricular septal defect, Pediatrics & Neonatology, 2011, 52 (1), p. 3-4. Google Scholar
[6]
Carminati M et al, Transcatheter closure of congenital ventricular septal defects: results of the European Registry, European heart journal, 2007, 28 (19), p. 2361-2368. Google Scholar
[7]
Phạm Tuấn Việt, Đánh giá kết quả ngắn hạn và trung hạn can thiệp bít thông liên thất bằng dụng cụ qua đường ống thông ở người trưởng thành, Luận văn tốt nghiệp bác sỹ nội trú chuyên ngành tim mạch, Trường Đại học Y Hà Nội, 2015. Google Scholar
[8]
Bui Quang Thang, Doan Duc Dung, Nguyen Lan Hieu, 2018, Mid-term and long-term follow-up of the transcatheter closure of perimembranous ventricular septal defects using the Pfm-Coil and/or ADO1 devices, Journal of Clinical Medicine (Bach Mai Hospital), p. 48-57. Google Scholar