scholarly journals TCT-453 Clinical and Procedural Outcomes of Percutaneous Closure of Septum Secundum ASD Compared With Surgical Closure

2021 ◽  
Vol 78 (19) ◽  
pp. B186-B187
Author(s):  
Daniel Garcia ◽  
Mohammad Mehdi Ansari ◽  
Scott Shurmur
Keyword(s):  
Percutaneous Closure ◽  
Surgical Closure ◽  
Procedural Outcomes ◽  
Septum Secundum

Percutaneous closure of ventricular septal defects

2007 ◽  
Vol 17 (3) ◽  
pp. 243-253 ◽  
Author(s):  
Gianfranco Butera ◽  
Massimo Chessa ◽  
Mario Carminati
Keyword(s):  
Surgical Approach ◽  
Major Complication ◽  
Percutaneous Closure ◽  
Ventricular Septal Defects ◽  
Surgical Closure ◽  
Septal Defects ◽  
Perimembranous Ventricular Septal Defect ◽  
Reduced Rate ◽  
Few Data ◽  
Complete Atrioventricular

Background: Surgical closure of ventricular septal defects has been performed for many years, and is considered as the gold standard for treatment. It remains associated with morbidity and mortality. Transcatheter techniques have been developed in the last 10 years as a possible alternative to conventional surgery. Methods: The procedure is performed under general anaesthesia, and with continuous fluoroscopic and transesophageal echocardiographic guidance. Devices of the Amplatzer family, two in particular, have achieved a large popularity in clinical practice, and are currently the devices most commonly used to close muscular and perimembranous ventricular septal defect percutaneously. Results: Data from literature show that successful closure of muscular defects is obtained in around 96% of patients, with a rate of major complication of around 2%. Pooling data from the literature shows that successful closure of perimembranous defects is also obtained in 96% of patients, again with major acute complications in around 2%. The major problem is the occurrence of complete atrioventricular block, reported in 1.7% of subjects. Acquired defects can occur as residual leaks after surgical closure, or as consequence of myocardial infarction. There are very few data concerning percutaneous closure of postoperative residual defects. As for the surgical approach, in patients with post-myocardial defects the success rate of percutaneous closure is around 88%, with a mortality of 22%. Conclusions: Nowadays, in experienced hands, percutaneous closure is a safe and effective procedure. In selected patients, closure of congenital or acquired muscular and perimembranous ventricular septal defects can be considered a real alternative to the standard surgical approach, with the advantage of a significantly reduced rate of mortality and complications.

scholarly journals TCT-774 Percutaneous Closure of Septum Secundum ASD

2019 ◽  
Vol 74 (13) ◽  
pp. B758
Author(s):  
Mohammad Mehdi Ansari ◽  
Daniel Garcia
Keyword(s):  
Percutaneous Closure ◽  
Septum Secundum

scholarly journals Atrio-aortic erosion caused by Amplatzer Atrial Septal Occluder – a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Christine E. Kamla ◽  
Joscha Buech ◽  
Philipp M. Doldi ◽  
Christian Hagl ◽  
Gerd Juchem ◽  
...  
Keyword(s):  
Left Atrium ◽  
Aortic Root ◽  
Late Complications ◽  
Percutaneous Closure ◽  
Daily Routine ◽  
Surgical Closure ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
First Choice ◽  
Septal Occluder Device

Abstract Background In specialized centers, percutaneous closure using specific occluders is the first-choice treatment in atrial septal defects (ASD). Late complications after this intervention, such as erosion of the aorta or the atria, are rare and have not been sufficiently approached and dealt with in literature. In our clinic we have been faced with the problematic situation of diagnosing and treating such cases. That is why, we have decided to share our experience with other colleagues. Case presentation We present two cases of severe late complications after percutaneous closure of atrial septal defects (ASD). In both cases, the atrial septal occluder (Amplatzer™ Atrial Septal Occluder Device, Abbott, Chicago USA) caused the erosion between the left atrium and the aortic root. The atrio-aortic erosion led to acute cardiac tamponade with upper venous congestion and shock. As the bleeding source remained undetectable for any imaging tools, a diagnostical sternotomy remained the only solution. The cause of the acute bleeding was discovered to be the erosion between the left atrium and the aortic root. The treatment consisted in the removal of the occluder, direct suturing of the perforated areas and the surgical closure of the remaining ASD. The patients fully recovered within the nine to fourteen days’ hospital stay. Six months after surgery both patients were well and able to recover their daily routine. Conclusions The atrio-aortic erosion after percutaneous closure of atrial septal defects is a surgical emergency. The more so, since it can be complicated by the absence of specific symptoms. A key-element in the diagnosis of this rare pathology remains the medical history of the patient, which the surgeon has to consider thoroughly and launch the diagnostic sternotomy without delay.

Percutaneous closure of residual atrial septal defect after surgical closure

2020 ◽  
Author(s):  
Soichiro Ogura ◽  
Yoichi Takaya ◽  
Teiji Akagi ◽  
Koji Nakagawa ◽  
Hiroshi Ito
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Percutaneous Closure ◽  
Surgical Closure

scholarly journals TCT-608 Comparison of Percutaneous And Surgical Closure of Septum Secundum ASD

2016 ◽  
Vol 68 (18) ◽  
pp. B247-B248
Author(s):  
Mohammad Ansari ◽  
Daniel Garcia ◽  
Nicolo Piazza ◽  
Eric Horlick
Keyword(s):  
Surgical Closure ◽  
Septum Secundum

Echocardiographic Evaluation of Cardiac Remodeling After Surgical Closure of Ventricular Septal Defect in Different Age Group

2017 ◽  
Vol 2 (2) ◽  
pp. 69-74
Author(s):  
Mohammad Aminullah ◽  
Fahmida Akter Rima ◽  
Asraful Hoque ◽  
Mokhlesur Rahman Sazal ◽  
Prodip Biswas ◽  
...  
Keyword(s):  
Ventricular Septal Defect ◽  
Ejection Fraction ◽  
Cardiac Remodeling ◽  
Septal Defect ◽  
Left Ventricular ◽  
Age Group ◽  
Surgical Closure ◽  
Group A ◽  
Group B ◽  
Fractional Shortening

Background: Cardiac remodeling is important issue after surgical closure of ventricular septal defect.Objective: The purpose of the present study was to evaluate cardiac remodeling by echocardiography by measuring the ejection fraction, fractional shortening, left ventricular internal diameter during diastole (LVIDd) and left ventricular internal diameter during systole (LVIDs) after surgical closure of ventricular septal defect in different age group. Methodology: This prospective cohort studies was conducted in the Department of Cardiac Surgery at National Institute of Cardiovascular Disease (NICVD), Dhaka. Patient with surgical closure of VSD were enrolled into this study purposively and were divided into 3 groups according to the age. In group A (n=10), patients were within the age group of 2.0 to 6.0 years; age of group B (n=8) patients were 6.1-18.0 years and the group C (n=6) aged range was 18.1-42.0 years. Echocardiographic variables such as ejection fraction, fractional shortening, LVIDd, LVIDs were taken preoperatively and at 1st and 3rd month of postoperative values. Result: A total number of 24 patients was recruited for this study. The mean ages of all groups were 12.60±12.09. After 1 month ejection fraction were decreased by 5.97%, 6.71% and 5.66% in group A, group B and group C respectively. After 3 months ejection fraction were increased by 6.13%, 5.13% and 5.14% in group A, group B and group C respectively. After 1 month fractional shortening were decreased by 13.55%, 9.30% and 9.09% in group A, group B and group C respectively. After 3 months fractional shortening were increased by 7.23%, 7.35% and 4.55% in group A, group B and group C respectively. After 1 month LVIDd were increased by 1.97%, 1.91% and 1.32% in group A, group B and group C respectively. After 3 months LVIDd were decreased by 10.84%, 9.89% and 7.34% in group A, group B and group C respectively. After 1 month LVIDs were increased by 2.19%, 2.86% and 1.98% in group A, group B and group C respectively. After 3 months LVIDs were decreased by 11.68%, 10.97% and 8.87% in group A, group B and group C respectively.Conclusion: Cardiac remodeling occurred after surgical closure of ventricular septal defect and remodeling were more significant in younger age group. Journal of National Institute of Neurosciences Bangladesh, 2016;2(2):69-74

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