[Effects of intraoperative hybrid procedures for the treatment of XXXX ].

@entity1 @entity384 @entity1757 @entity849 @entity358 @entity661 @entity299 @entity1146 @entity118 @entity67
OBJECTIVE: A hybrid operation is a joint procedure involving the interventional cardiologist and the cardiac surgeon concomitantly to optimize surgical management for complex @entity299 . We analyzed the feasibility and efficacy of this procedure in 20 @entity1 with @entity299 . METHODS: Data from 20 @entity1 who underwent intraoperative hybrid procedures from March to October 2005 were analyzed. Two groups were identified: (1) Balloon valvuloplasty group: @entity1146 with intact @entity67 in neonate (n = 3) and severe @entity849 in @entity1 (n = 4); (2) Device closure group: @entity118 ( @entity118 ) in @entity1 (n = 7), adult @entity118 (n = 3) and multiple @entity1757 ( @entity1757 , n = 3). @entity384 under the guidance of echocardiography together with modified Blalock-Taussig shunt procedure and PDA ligation were applied to @entity1 in balloon valvuloplasty group. For @entity118 @entity1 , the occluder was placed via right atria after opening the chest either with median sternotomy (4 case) or with submaxillary minimally invasive incision (6 cases), PDA ligation was performed in 1 @entity1 and 2 coronary artery bypass surgeries were performed in 2 adult @entity118 @entity1 complicating CHD. For multiple @entity1757 , perimembranous @entity1757 was closed surgically and muscular @entity1757 closed by occluder via tricuspid valve approach under cardiopulmonary bypass. RESULTS: All operations were successful and 1 @entity1 received another conventional valvuloplasty due to the @entity358 after @entity661 @entity1 's muscular @entity1757 was closed by conventional procedure after unsuccessful device closure. No device-related complications were found during follow-up (1-6 months). CONCLUSION: Our results showed that intraoperative hybrid procedure was feasible and effective in selected @entity1 with @entity299 .
