Long-term results of repair of atrial septal defects

1971 ◽  
Vol 121 (6) ◽  
pp. 724-727 ◽  
Author(s):  
William A. Reed ◽  
Marvin I. Dunn
Keyword(s):  
Long Term Results ◽  
Septal Defects ◽  
Atrial Septal Defects

Long-term Results of the Single-Patch Repair Technique for Sinus Venosus Atrial Septal Defects

2015 ◽  
Vol 16 (2) ◽  
pp. 85
Author(s):  
Veysel Temizkan ◽  
Murat Ugur ◽  
Ibrahim Alp ◽  
Alper Ucak ◽  
Ahmet Turan Yilmaz
Keyword(s):  
Sinus Venosus ◽  
Patch Repair ◽  
Long Term Results ◽  
Pericardial Patch ◽  
Repair Technique ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
The Mean ◽  
Patch Plasty

<p><b>Background:</b> Anomalous pulmonary venous drainage commonly accompanies sinus venosus atrial septal defects (SVASDs). Many techniques have been reported for avoiding postoperative complications, such as narrowing of the superior vena cava (SVC) or the pulmonary system, and arrhythmia. We perform a single V-Y pericardial patch plasty repair technique for SVASDs. The purpose of this study is to report on the long-term results of this surgical technique.</p><p><b>Methods:</b> We retrospectively analyzed patients who had a diagnosis of ASD and who underwent their operations between 2000 and 2010 at the Gulhane Military Medical Academy Haydarpasa Training Hospital. Thirty-nine of the patients had an anomalous pulmonary return, and the single pericardial patch technique had been performed in 32 of these patients.</p><p><b>Results:</b> The mean (�SD) postoperative extubation time was 5 � 1.6 hours. The mean drainage volume was 384 � 137 mL. All patients were discharged from the hospital at a mean of 4.6 � 1.1 days after their operation and were prescribed anticoagulants for 3 months. No perioperative or late-term mortality was observed. Patients were followed up for 6 months to 2 years. There were no residual shunts and no stenosis-related findings in the pulmonary venous system or the SVC.</p><p><b>Conclusion:</b> Use of the single pericardial patch plasty technique might lower complication rates in patients with SVASD, especially those who have not completed their growth.</p>

Analisis of Causes and Results of Re-Operations in the Patients with Congenital Septal Defects

10.12737/5895 ◽  
2014 ◽  
Vol 21 (3) ◽  
pp. 41-45
Author(s):  
Соболев ◽  
Yu. Sobolev ◽  
Медведев ◽  
A. Medvedev
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Septal Defect ◽  
Single Case ◽  
Long Term Results ◽  
Surgical Operation ◽  
Septal Defects ◽  
Severe Deficiency ◽  
Initial Correction

Complications, which led to the need of re-operations in the patients with previously correction of congenital septal defects, are analyzed in this paper. Indications for re-operations, their immediate and long term results are considered. Approaches to the problem of the choice of tactics in the case of different complications after initial correction of congenital septal defect of the heart are considered as well. Having diagnosed re-canalization of septal defect requires not always need to re-intervention. The presence of a severe deficiency on the mitral or aortic valve (in particular, the existence of fenestration of the valves of the aortic valve) is almost always an indication for re-operation. Infective endocarditis as one of the significant causes for re-operations is considered in this paper. At the same time, this investigation didn’t reveal a single case of re-operation concerning any severe arhythmias, which required surgical operation. The investigation demonstrates the good immediate and long term results of re-operations in given group of patients. The complications required re-operation after correction of septal defects for more than 15 years didn’t note. This was the result of analysis of mistakes made, and also &#34;the surgeon is an independent&#34; complications.

scholarly journals TCT-190 Transcatheter Closure of Secundum Atrial Septal Defects With the Use of Cocoon Septal Occluders: Immediate and Long-Term Outcomes

2021 ◽  
Vol 78 (19) ◽  
pp. B78
Author(s):  
Santosh Sinha ◽  
Umeshwar Pandey ◽  
Puneet Aggarwal ◽  
Mahmadula Razi ◽  
Awadesh Sharma ◽  
...  
Keyword(s):  
Transcatheter Closure ◽  
Long Term Outcomes ◽  
Septal Defects ◽  
Atrial Septal Defects

scholarly journals Risk Analysis of the Long-Term Outcomes of the Surgical Closure of Secundum Atrial Septal Defects

2017 ◽  
Vol 50 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Hong Rae Kim ◽  
Sung-Ho Jung ◽  
Jung Jun Park ◽  
Tae Jin Yun ◽  
Suk Jung Choo ◽  
...  
Keyword(s):  
Risk Analysis ◽  
Long Term Outcomes ◽  
Surgical Closure ◽  
Septal Defects ◽  
Atrial Septal Defects

Abstract 17590: Long Term Results of Septal Defect Occlusion Using the Transcatheter Patch

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Eleftherios Sideris ◽  
Savvas Toumanides ◽  
Benjamin Macuil ◽  
Keyhan Zanjani ◽  
Spyridon D Moulopoulos
Keyword(s):  
Septal Defect ◽  
Immediate Release ◽  
Long Term Results ◽  
Promising Alternative ◽  
Septal Defects ◽  
Double Balloon ◽  
Surgical Adhesive ◽  
Single Balloon ◽  
Acute Results

Introduction: The Transcatherer Patch (TP) is a bioabsorbale device used in the occlusion of septal defects including atrial septal defects(ASDs) and ventricular septal defects(VSDs) the last 15 years. Acute results have been described as effective occlusions with rare small residual shunts and occasional instability of the immediately release patch on the septum. Hypothesis: Long term results of successful implantations were critically examined to determine effectiveness of occlusion and the extent of septal reconstruction. Method: The records of 200 successfully implanted devices (149 ASDs, 51 VSDs) were analyzed. ASDs were of secundum type with the exception of five that were ostium primum and sinus venosus types. All VSDs were peri-membranous except for four malalignment (Fallot Tetralogy) and one muscular defect. Defect size varied from 13 to 35mm for ASDs and 4-16mm for VSDs. The TP was deployed in three versions including, temporary double balloon support (48hrs), temporary double balloon support with surgical adhesive (45min - 2hrs), and extended single balloon support with immediate release. Results: Long term results were free from deaths or serious complications including perforation, erosion, heart block, thrombus, and arrhythmia. All occlusions were effective with occasional persistence of trivial residual shunts. The septum was normalized and the patch was undetectable by echocardiography 1-2yrs after implantation. Normalization of the septum required a longer period of time with the immediate release patch. Conclusions: Long term results of the TP in septal defect occlusion were excellent. Serious complications seen with metallic devices did not occur. The TP offers a promising alternative in septal defect occlusion although further improvements must be made to eliminate rare acute problems and residual shunts. A double balloon immediately released patch could be a solution. B

scholarly journals ASD and VSD Flow Dynamics and Anesthetic Management

2015 ◽  
Vol 62 (3) ◽  
pp. 125-130 ◽  
Author(s):  
Philip Yen
Keyword(s):  
Anesthetic Management ◽  
Flow Dynamics ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
Flow Mechanisms ◽  
A Minor ◽  
The Impact

Abstract Atrial septal defects and ventricular septal defects are often encountered in patients presenting for treatment under anesthesia. The flow mechanisms for both defects are predominantly left to right shunting prior to long-term maladaptive changes that may occur. Close examination of the shunt dynamics demonstrates a minor right to left shunt that occurs as well. The article discusses these dynamics and the impact on an anesthetic plan.

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