Percutaneous versus surgical closure of secundum atrial septal defect

Butera, Gianfranco; Carminati, Mário; Chessa, Massimo; Youssef, Rana; Drago, Manuela; Giamberti, Alessandro; Pomè, Giuseppe; Bossone, Edoardo; Frigiola, Alessandro

doi:10.1016/j.ahj.2005.02.051

Cited by 181 publications

(152 citation statements)

References 26 publications

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“…4 Percutaneous closing method has significant advantages over surgical treatment such as less morbidity, lower rate of complications, shorter hospital stay and less invasive method. 5 However it should be noted that percutaneous closing method has complications, as in our case, requiring earlier surgical intervention such as embolization and migration or serious valve insufficiency by prevention of mitral and tricuspid valve functions. In addition during early phase, cardiac erosion, perforation, arrhythmia, thrombosis and sepsis can be developed in patients.…”

Section: Discussionmentioning

confidence: 99%

Emergency Care Intervention for Embolization of Atrial Septal Defect Device Implanted by Transcathater Method: Case Report

Tekın¹,

Yağmur²

2017

Turkiye Klinikleri J Case Rep

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trial septal defect is the third in frequency of congenital cardiac disorder in adults following bicuspid aortic valve and mitral valve prolapsed.1 Serious and large ASDs are repaired by open surgery at operating room, while ASDs with small and medium diameter are closed by occluder through percutaneous transvenous way under scopy in catheter room and with echocardiographic imaging. ASD closing by interventional cardiac catheterization is preferred in patients with suitable defect anatomy due to requirement of shorter hospital stay, its administration under sedation and lack of need for sternotomy and cardiopulmonary bypass (CPB). However percutaneous closing procedure has certain complications such as inappropriate placement of occluder, embolization and perforation which require emergency surgery. 2,3 In this report, we present a case of defect repair following embolization of septal occluder to arcus aorta and its surgical removal during closing intervention of an ASD of 28 mm. 51Emergency Care Intervention for Embolization of Atrial Septal Defect Device Implanted by Transcathater Method: Case Report A AB BS ST TR RA AC CT T Atrial septal defect (ASD) is a common congenital cardiac disorder in children, while it is the most frequently seen cardiac disorder in adults. During closure of ASD by an amplatzer septal occluder of 28 mm in a female patient aged 40 years old, embolization of ASD closure device was seen toward the left subclavian artery exit at arcus aorta. In this report, we present a successful emergency intervention following the embolization of ASD closure device to arcus aorta during percutaneous ASD closing procedure.K Ke ey yw wo or rd ds s: : Septal occluder device; atrial septal defect 2; heart defects, congenital Ö ÖZ ZE ET T Atriyal septal defekt(ASD) çocuklarda yaygın görülen bir doğuştan kalp hastalığı iken, yetişkinlerde görülen en sık doğuştan kalp hastalığıdır. Kırk yaşında kadın hastaya 28 mm amplatzer septal oklüder ile ASD kapama işlemi esnasında ASD kapama cihazının arkus aortada sol subklavian arter çıkışına embolize olduğu görüldü. Bu yazıda perkütan ASD kapatma işlemi esnasında ASD kapama cihazının arkus aortaya embolizasyonu sonrası gerçekleştirilen başarılı cerrahi tedavisi sunuldu.A An na ah ht ta ar r K Ke el li im me el

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Section: Discussionmentioning

confidence: 99%

Emergency Care Intervention for Embolization of Atrial Septal Defect Device Implanted by Transcathater Method: Case Report

Tekın¹,

Yağmur²

2017

Turkiye Klinikleri J Case Rep

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show abstract

“…Other short-to medium-term studies have reported no mortality, although many of these included pediatric or mixed populations. 15,18,20,35 Atrial septal defect closure appears to be safe with a low mortality rate, even at longer follow-up in the adult population.…”

Section: Comparison To Current Literaturementioning

confidence: 99%

“…14,15 Follow-up studies have demonstrated low rates of periprocedural and short-term complications, including device embolization, erosion, or thrombosis. [16][17][18][19][20] Other studies have found low rates of medium-to-long-term complications and mortality in pediatric or mixed adult and pediatric populations. 21,22 However, few studies have examined long-term complications, including the presence of residual shunt and its impact on long-term survival, in the adult population.…”

mentioning

confidence: 99%

Contributors to and impact of residual shunting after device closure of atrial septal defects

Zdradzinski

Elkin

Lee

et al. 2016

American Heart Journal

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“…Small ASDs (<5 mm) or patent foramen ovale no evidence of right atrial and ventricular volume overload do not impact the natural history of the individual and thus may not require repair unless related with paradoxical embolism (2). Several recent studies have reported no mortality and serious complications were observed in ≤1% of patients (10,11). We have been reported that transcatheter ASD closure was successfully performed for 112 (96%) of the 117 patients with secundum-type ASD in our clinic and no mortality and complications were observed ( Figure 2) (12).…”

Section: Introductionmentioning

confidence: 98%